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National prospective cohort study of peritonsillar abscess management and outcomes: the Multicentre Audit of Quinsies study

  • ENT Trainee Research Collaborative – West Midlands (a1)

To investigate variations in the management and outcomes of peritonsillar abscesses, and to develop a trainee collaborative network in the UK.


Data were collected prospectively on suspected peritonsillar abscess cases presenting over a 2-month period at 42 participating secondary care centres, covering a population of 16 million. The primary outcome was an adverse event at 30 days, defined as re-presentation or re-drainage.


Eighteen per cent of the 325 cases experienced an adverse event. Follow-up data were valid for 90 per cent of cases. Regression analyses showed a significant reduction in adverse events in the 12 per cent of patients who were discharged within 12 hours, and there was no significant increase in adverse events for the 70 per cent receiving corticosteroids.


Out-patient management of peritonsillar abscess is not commonly practised in the UK. Corticosteroid usage is common and appears safe. This study demonstrates that trainees working in collaboration can effectively deliver prospective multicentre cohort studies in the UK.

Corresponding author
Address for correspondence: Mr John Hardman, Department of Otolaryngology Head and Neck Surgery, West Middlesex University Hospital, Isleworth TW7 6AF, UK E-mail:
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1 Health and Social Care Information Centre. Hospital Episode Statistics, Admitted Patient Care, England - 2012–13: Diagnosis. In: [29 August 2013]
2 Millar, KR, Johnson, DW, Drummond, D, Kellner, JD. Suspected peritonsillar abscess in children. Pediatr Emerg Care 2007;23:431–8
3 Chau, JK, Seikaly, HR, Harris, JR, Villa-Roel, C, Brick, C, Rowe, BH. Corticosteroids in peritonsillar abscess treatment: a blinded placebo-controlled clinical trial. Laryngoscope 2014;124:97103
4 Al, Yaghchi C, Cruise, A, Kapoor, K, Singh, A, Harcourt, J. Out-patient management of patients with a peritonsillar abscess. Clin Otolaryngol 2008;33:52–5
5 Garas, G, Ifeacho, S, Cetto, R, Arora, A, Tolley, N. Prospective audit on the outpatient management of patients with a peritonsillar abscess: closing the loop: how we do it. Clin Otolaryngol 2011;36:174–9
6 Ozbek, C, Aygenc, E, Tuna, EU, Selcuk, A, Ozdem, C. Use of steroids in the treatment of peritonsillar abscess. J Laryngol Otol 2004;118:439–42
7 Hardman, JC, McCulloch, NA, Nankivell, P. Do corticosteroids improve outcomes in peritonsillar abscess? Laryngoscope 2015;125:537–8
8 Pinkney, TD, Calvert, M, Bartlett, DC, Gheorghe, A, Redman, V, Dowswell, G et al. Impact of wound edge protection devices on surgical site infection after laparotomy: multicentre randomised controlled trial (ROSSINI Trial). BMJ 2013;347:f4305
9 National Surgical Research Collaborative. Multicentre observational study of performance variation in provision and outcome of emergency appendicectomy. Br J Surg 2013;100:1240–52
10 Von, Elm E, Altman, DG, Egger, M, Pocock, SJ, Gøtzsche, PC, Vandenbroucke, JP et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 2008;61:344–9
11 ENT Trainee Research Collaboratives Network - UK. In: [10 May 2016]
12 Public Health England. Tools and data. In: [20 January 2015]
13 Public Health England. Eastern Region Public Health Observatory. Acute Hospitals Catchment Populations 2009. In: [11 January 2015]
14 About Cardiff and Vale University Health Board. In: [10 May 2016]
15 Department of Health, Social Services and Public Safety Northern Ireland. Update to estimate of hospital catchment populations. In: [11 January 2015]
16 Wikstén, J, Blomgren, K, Eriksson, T, Guldfred, L, Bratt, M, Pitkäranta, A. Variations in treatment of peritonsillar abscess in four Nordic countries. Acta Otolaryngol 2014;134:813–17
17 Health and Social Care Information Centre. Accident and Emergency Attendances in England - 2012–13. In: [28 January 2015]
18 Biswas, D, Rafferty, A, Jassar, P. Night emergency cover for ENT in England: a national survey. J Laryngol Otol 2009;123:899902
19 Radford, P, Unadkat, S, Rollin, M, Tolley, N. Disinfection of flexible fibre-optic endoscopes out-of-hours: confidential telephone survey of ENT units in England – 10 years on. J Laryngol Otol 2013;127:489–93
20 Mehanna, HM, Al-Bahnasawi, L, White, A. National audit of the management of peritonsillar abscess. Postgrad Med J 2002;78:545–7
21 Chung, JH, Lee, YC, Shin, SY, Eun, YG. Risk factors for recurrence of peritonsillar abscess. J Laryngol Otol 2014;128:1084–8
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  • ISSN: 0022-2151
  • EISSN: 1748-5460
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