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Pharyngotonsillitis

Infection Pharyngotonsillitis Brief outline/clinical setting Inflammation of the pharyngeal wall, pharynx and tonsils. Throat swab is recommended to rule out Group A beta haemolytic strep if <16 years old Aetiologies/organisms Viruses- coxsackie, adeno, influenza, parainfluenza, Strep pyogenes (Group ABHS), non-infectious Optimal antimicrobial selection Not for antimicrobial therapy if viral A

Infection Pharyngotonsillitis
Brief outline/clinical setting

Inflammation of the pharyngeal wall, pharynx and tonsils. Throat swab is recommended to rule out Group A beta haemolytic strep if <16 years old

Aetiologies/organisms Viruses- coxsackie, adeno, influenza, parainfluenza, Strep pyogenes (Group ABHS), non-infectious
Optimal antimicrobial selection Not for antimicrobial therapy if viral
Amoxicillin 500mg – 1g bd (for prevention of Rheumatic Fever): Can wait for results of rapid streptococcal antigen test if available
Duration 5 days
Alternative if allergic/not available Azithromycin 500mg po daily x 3 days
Clarithromycin 500mg po bd x 5 days
Rationale  
Level of evidence See above
Link to Guideline Click here

Drugs mentioned

NeoHealth® ID 23836 · updated 3/27/2024