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Evid Based Med 6:82 doi:10.1136/ebm.6.3.82
  • Therapeutics

Review: some non-antibiotic treatments are effective for relieving acute sore throat

Non-antibiotic treatment v placebo for acute sore throat*

Treatment Number of trials (number of patients) Patient type Follow up Relative treatment effect †
*AB = antibiotics; NSAIDs = non-steroidal anti-inflammatory drugs.
†Relative decrease in symptom score in intervention group relative to placebo group.
Ibuprofen 3 (118) Adults 2 to 6 hours 32% to 80%
1 (78) Children 2 hours 25%
1 (153) Children 2 days 56%
Other NSAIDs 2 (276) Adults 1 hour 55% to 75%
2 (290) Adults 2 to 5 days 17% to 81%
2 (207) Children 2 to 5 days 14% to 93%
Paracetamol 1 (81) Adults 3 and 6 hours 50% and 20%
1 (77) Children 2 hours 31%
1 (154) Children 2 days 34%
Corticosteroid plus AB 1 (51) Age 12 to 65 years 24 hours 38%
Aspirin containing gum 1 (20) Adult men ≤24 hours 50%
Influenza vaccine 1 (849) Adults >24 hours 25%
Pneumococcal vaccine 1 (405) Children 2 years 18%
Supercolonisation with α-streptococcal bacteria 2 (166) Age 3 to 59 years ≤3 months 42% to 90%
Greater attention to patients plus AB 1 (100) Age >16 years 2 days 40%
Benzydamine 0.15% oral rinse 1 (51) Age 17 to 74 years 3 days 42%

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