paniculata have been used for prophylactic and symptomatic treatment of respiratory infections, such as common cold, influenza with fever, sore throat, acute and chronic cough, sinusitis, bronchitis and pharyngotonsillitis
(Herba Andrographidis 2002; Herba Andrographis (Chuanxinlian) 2010).
Systematic reviews suggest that in high-income countries the benefit of antibiotics for acute pharyngotonsillitis
, AOM and acute bacterial rhinosinusitis (ABRS) is extremely limited.
An independent study published in Drug, Healthcare and Patient Safety evaluated the probiotic BLIS K12 (Streptococcus salivarius) and found it supported the prevention of two of the most common illnesses in children: streptococcal and viral pharyngotonsillitis
Recurrence of GAS pharyngotonsillitis
after assumingly adequate antibiotic treatment has puzzled scientists for many years (25).
A patient with prolonged fever after pharyngotonsillitis
A Group A streptococcus (GAS) is the only common cause of acute pharyngotonsillitis
that routinely requires antibiotic treatment, (1) accounting for 15% to 30% of sore throats in children, and 5% to 10% in adults.
It is indicated in bacterial and viral respiratory infections including common cold, pharyngotonsillitis
, and acute sinusitis.
Some of the most common reasons that pediatricians refer patients to otolaryngologists are hypertrophic tonsils, pharyngitis, pharyngotonsillitis
, recurrent ([greater than or equal to] 6 cases/yr) tonsillar infections, and documented culture-positive streptococcal infection that is resistant to antibiotic treatment.
pyogenes throat swabs from patients with pharyngotonsillitis
twice-daily amoxicillin or penicillin V for treatment of acute pharyngotonsillitis
, and once-daily regimens may improve patient adherence.
Efficacy of Andrographis paniculata, Nees for pharyngotonsillitis
Isolation rates of Streptococcus pyogenes in patients with acute pharyngotonsillitis
and among healthy school children in Iran.