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Angina does not need to be treated with antibiotics


Zorica Ostojic-Joksovic |

November 15, 2018

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By the fourth year, it is better to wash the throat with a solution of sage or basil, as all angina is viral. Infections are not transmitted by coughing or sneezing as much as touching the object

They injure their throat, hold their neck because they can not swallow, hard and breathe. They are embarrassed by the fever of their fever because of their temperature, they are drowsy and just sleep … So, they are mostly males with angina, which is typical for this time of the year. Some parents are prone to believe that children with angina are sick because of changing times, when they are overnight or drink too much cold water.

Is that precisely why and why angina is really responsible, explains professor Dr. Branimir Nestorović from the University Children's Clinic in Tiršova:

– Angina or inflammation of the throat is an acute infectious disease, which can be caused by bacteria, but more often than viruses. More specifically, in 20 percent of diseased children, the cause is bacteria pyogenic streptococci, formerly called beta-haemolytic streptococcus. Spring and autumn are the seasons of respiratory tract infections, because time is still warm, which perfectly supports the transmission of bacteria and viruses. Children are in collective centers and in close contact with each other. I emphasize this because most respiratory infections are not transmitted by coughing and killing, as much as they touch after coughing and sneezing. Namely, in this way, bacteria and viruses that are ejected remain in objects that touch children, which leads to mutual infection. In addition, in this period there is a low level of vitamin D, which is very important for improving the immune response to infections.

* What distinguishes bacteria from viral angina?

– It's not easy to distinguish them. By the third or fourth year, all angina children are viral and do not need to be treated with an antibiotic. For small ones, it is better to wash your throat with some solution of sage or basil. Only after the fourth year was streptococcal angina and the only treatment with penicillin preparations.

* Is there a symptom that indicates a bacterial infection?

– In their differentiation, the current high temperature, which is characteristic of a bacterial infection, can help. With a high fever, usually pelvis is on the extremities and enlarged glands on the neck. To be sure of the estimate, it is desirable to take a throat swab and wait for the result. It is important that parents know that delaying treatment due to waiting for the result of swabs does not affect complications. In addition, this prevents unnecessary use of antibiotics, which can lead to disturbance of normal broom flora, but also frequent infections in later life.

* How long does angina last and can it go spontaneously?

– Angina lasts for up to seven days and always passes spontaneously, regardless of whether it is bacterial or viral. Treatment does not shorten the duration of the disease, but can prevent the development of complications. In older children and adults who give aspirin faster leads to healing and temperature drop than to antibiotic treatment.

* What complications of angina can I bring?

– Viral angina complications are rare. Sometimes inflammation of the throat or laryngitis, as well as tissues around the eyes, known as cellulitis. On the other hand, complications of bacterial streptococcal angina can be very serious. The classic complication of rheumatic fever is very rare today. Local complications often occur when the mushroom accumulation occurs in the throat tissue or the paratoncial abscess. There are numerous immunological complications, among which the most striking pain and inflammation in the joints that last for many years. Fortunately, this disease rarely has any consequences. Kidney inflammation may occur, and psychological changes have been described in recent years as PANDAS syndrome. Changes in personality can be permanent, but it is not known whether they can be prevented by appropriate treatment.

* What does it mean to properly cure streptococcal angina?

– The medicine of choice is penicillin, as streptococcus is always sensitive to it. Penicillin injections should not be used, as syrup or capsules provide satisfactory results. Treatment should last for ten days, otherwise the infection often recurs. In fact, streptococcus remains in the crypts of the tonsil, and is waiting to react to the infection again. In therapy, hemomycin drugs should not be used because they are less likely to act on streptococcus than penicillins and cephalosporins.


In some children and adults, it is often returned. If something like this happens, it is necessary to remove the extremities. It is usually considered that such intervention is necessary after five to seven episodes of proven bacterial streptococcal angina. On the other hand, pulling the tonzil into viral infection has no positive effect. Even the opposite can happen, in order to weaken the immune response. A study in Denmark, which included 1.6 million children, has shown that extraction of the tonsils increases the risk of asthma and other respiratory illnesses as well as other diseases. In any case, the headphones should not be practiced even if they are large because they are usually fully functional – emphasizes Dr Nestorovic.


Child angina, or inflamed throat, can be treated and rinsed with a solution of apple vinegar. In a glass of water add a spoon of vinegar and let the child wash the throat every two hours. The throat can be rinsed by grinding tea from sage, physiological or iodine povidone. Put a few drops of iodine in half a glass of water and then rinse the throat.

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