Evidence map›Paper›PMID 27604832›Full record

Observational studyEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2017

Is there an association between prior anti-inflammatory drug exposure and occurrence of peritonsillar abscess (PTA)? A national multicenter prospective observational case-control study.

D Lepelletier, V Pinaud, P Le Conte, C Bourigault, N Asseray, F Ballereau, J Caillon, C Ferron, C Righini, E Batard and 2 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Acute sore throat andBMJ open · 2021
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Comparison of needle aspiration versus incision and drainage under local anaesthesia for the initial treatment of peritonsillar abscess.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
    Article
  6. Review
  7. Article
  8. Peritonsillar abscess is frequently accompanied by sepsis symptoms.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

D LepelletierBacteriology and Infection Control Department, Nantes University Hospital, 44093, Nantes, France. didier.lepelletier@chu-nantes.fr.
V PinaudEmergency Department, Nantes University Hospital, 44093, Nantes, France.
P Le ConteEmergency Department, Nantes University Hospital, 44093, Nantes, France.
C BourigaultBacteriology and Infection Control Department, Nantes University Hospital, 44093, Nantes, France.
N AsserayInfectious Diseases Department, Nantes University Hospital, 44093, Nantes, France.
F BallereauMedqual, Nantes University Hospital, 44093, Nantes, France.
J CaillonBacteriology and Infection Control Department, Nantes University Hospital, 44093, Nantes, France.
C FerronOtorhinolaryngology Department, Nantes University Hospital, 44093, Nantes, France.
C RighiniOtorhinolaryngology Department, Michallon University Hospital, 38000, Grenoble, France.
E BatardEmergency Department, Nantes University Hospital, 44093, Nantes, France.
G PotelEmergency Department, Nantes University Hospital, 44093, Nantes, France.
French PTA Study Group
Nantes Université · FRHôpital Albert Michallon · FRCentre Hospitalier Universitaire de Nantes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate whether recent systemic anti-inflammatory agents (AIAs) exposure in patients with sore throat managed with or without antibiotic therapy influenced the risk of peritonsillar abscess (PTA). We conducted a multicenter case-control study in 13 French university hospitals in 2009-2012 comparing patients admitted with PTA to matched controls: patients with sore throat but without PTA who were followed up for 10 days after visiting their primary-care physician. In the multivariate stepwise logistic regression model comparing 120 cases with PTA to 143 controls, factors significantly associated with PTA were male gender (odds ratio [OR], 2.0; p = 0.03), smoking (OR, 2.0; p = 0.03), and prior self-medication with systemic AIAs (OR, 3.5; p = 0.01). Topical treatment was associated with significant protection against PTA (OR, 0.3; p < 0.001). In conclusion, self-medication with systemic AIAs appears to be an independent factor associated with the occurrence of PTA. This is an important message as non-steroidal AIAs access is favored by their over-counter availability in pharmacies. This finding must be interpreted with caution due to the study design and a prospective, randomized study is needed to substantiate these possible causal risk factors.

Indexed as

AdolescentAdultAgedAnti-Inflammatory AgentsCase-Control StudiesChildChild, PreschoolFemaleFranceHumansInfantMaleMiddle AgedPeritonsillar AbscessProspective StudiesRisk AssessmentAnti-Inflammatory Agents

Identifiers

PMID27604832
OpenAlexW2518652258

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.