Pharyngotonsillitis

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Pharyngotonsillitis is an acute inflammation of the pharynx and tonsils, which is characterized by fever and a painful throat.

Pharmacological treatment

Phenoxymethylpenicillin oral

Adult:

500mg every 8 hours for 7 days.

Child:

up to 5 years: 6 mg/kg every 6 hours for 10 days

OR

Azithromycin oral

Adult:

500mg once daily for 3 days.

Child:

10mg/kg once daily for 3 days

OR

Amoxicillin/Clavulanic acid oral

Adult:

625mg (500mg amoxicillin+125mg Clavulanic acid) every 8 hours for 7 days

Child:

375mg (250mg amoxicillin+125 Clavulanic acid) every 12 hours for 7 days;

AND

Paracetamol oral until fever is controlled

Adult:

1gm every 8 hours

Child:

10 mg/kg body weight every 8 hours

Note Refer the patient with tonsillitis to the specialist for tonsillectomy if:

• Chronic tonsillitis
• Recurrent tonsillitis (>3 attacks in a year or 5 or more attacks in 2 years)
• Obstructive tonsillitis (causing an upper airway obstruction)