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Algorithm of Tonsillitis

The document outlines an algorithm for treating tonsillitis. It first determines if the patient has acute or chronic tonsillitis based on experiencing symptoms 5 or more times per year. For acute tonsillitis, it determines if the cause is bacterial or viral through symptoms and testing. It recommends supportive care and antibiotics if bacterial. It checks for resolution and considers a tonsillectomy if it does not resolve. For chronic tonsillitis it directly considers a tonsillectomy. The algorithm provides guidance on determining the cause and appropriate treatment and management of tonsillitis.

Uploaded by

Bobet Reña
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
1K views

Algorithm of Tonsillitis

The document outlines an algorithm for treating tonsillitis. It first determines if the patient has acute or chronic tonsillitis based on experiencing symptoms 5 or more times per year. For acute tonsillitis, it determines if the cause is bacterial or viral through symptoms and testing. It recommends supportive care and antibiotics if bacterial. It checks for resolution and considers a tonsillectomy if it does not resolve. For chronic tonsillitis it directly considers a tonsillectomy. The algorithm provides guidance on determining the cause and appropriate treatment and management of tonsillitis.

Uploaded by

Bobet Reña
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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ALGORITHM OF TONSILLITIS

Patient with signs and symptoms of tonsillitis


5 or more times a year?

YES

NO

CHRONIC TONSILLITIS

ACUTE TONSILLITIS

Appropriate antibiotics*

BACTERIAL
(sore throat/dysphagia, fever, patchy discrete
exudates, tender and enlarged anterior
cervical nodes)

>Amoxicillin (Pediatric dose: 50-100mg/kg/day in 3-4


divided doses, Adult dose: 1-4g/day in 3-4 divided doses)

Supportive management**

>Adequate fluid intake, warm saline gargle, bed rest, use of


analgesics and antipyretics, good oral hygiene

Consider tonsillectomy

YES

Supportive management*

GABHS
(via throat swab culture)

>Adequate fluid intake, warm


saline gargle, bed rest, use of
analgesics and antipyretics,
good oral hygiene

NO

YES

Appropriate antibiotics* +
cephalosporin
Supportive management**

NO

Appropriate antibiotics*
Supportive
management**

RESOLUTION

YES

NO

Consider
Tonsillectomy

Throat
swab

YES
Confirms
GABHS
NO
Reassess

Revise antibiotics:
>Clindamycin
(Pediatric dose:
20-30mg/kg/day in
3 or 4 divided
doses, Adult dose:
150-300mg in 3 or
4 divided does),
3rd gen.
cephalopsporins,
higher gen.
macrolides

RESOLUTION

YES

NO
Consider
tonsillectomy

Reassess

Clinical Practice Guidelines of the Philippine Society


of Otolaryngology-Head and Neck Surgery

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