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Tonsillitis

Infection Tonsillitis Brief outline/clinical setting Signs and symptoms of tonsillitis include swollen tonsils, sore throat, difficulty swallowing and tender lymph nodes on the sides of the neck. Aetiologies/organisms Streptococcus pneumoniae  Group A beta hemolytic Streptococcus (S. pyogenes)  Haemophilus influenza  Optimal antimicrobial selection Amoxicillin 1gm 8 hourly Amoxicil

Infection Tonsillitis
Brief outline/clinical setting Signs and symptoms of tonsillitis include swollen tonsils, sore throat, difficulty swallowing and tender lymph nodes on the sides of the neck.
Aetiologies/organisms
  1. Streptococcus pneumoniae 
  2. Group A beta hemolytic Streptococcus (S. pyogenes)
  3.  Haemophilus influenza 
Optimal antimicrobial selection
  1. Amoxicillin 1gm 8 hourly
  2. Amoxicillin-clavulanate 2000mg amoxicillin/125mg clavulanate 12 hourly if patient not responding 
  3. Amoxicillin will cause rash in patients with Epstein-Barr virus (EBV) pharyngitis.
Duration 7 days
Alternative if allergic/not available Levofloxacin 500mg 12 hourly or 750mg daily OR
Moxifloxacin 400mg daily X 5 days
Rationale Revised Upper Respiratory Tract Infection (URTI) Guideline for South Africa - 2014
Level of evidence  
Link to Guideline Click here

Drugs mentioned

NeoHealth® ID 23873 · updated 3/27/2024