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    ENT UK COVID-19 Tonsillitis & Quinsy Guidelines FINAL PDF

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    Febriani Seroja
    This document provides guidelines for treating adult tonsillitis and quinsy during the COVID-19 pandemic. It outlines personal protective equipment requirements and an assessment process to determine if a patient is at risk of airway compromise or sepsis. For stable patients, the initial treatment involves IV antibiotics, dexamethasone, fluids, and analgesics, followed by observation and potential discharge with oral medications. For unstable patients, it provides guidelines for admission, IV treatment, and ENT consultation. The guidelines aim to safely diagnose, treat and expedite discharge of tonsillitis and quinsy patients while minimizing risk of COVID-19 transmission.

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    ENT UK COVID-19 Tonsillitis & Quinsy Guidelines FINAL PDF

    Uploaded by

    Febriani Seroja
    113 views1 page
    This document provides guidelines for treating adult tonsillitis and quinsy during the COVID-19 pandemic. It outlines personal protective equipment requirements and an assessment process to determine if a patient is at risk of airway compromise or sepsis. For stable patients, the initial treatment involves IV antibiotics, dexamethasone, fluids, and analgesics, followed by observation and potential discharge with oral medications. For unstable patients, it provides guidelines for admission, IV treatment, and ENT consultation. The guidelines aim to safely diagnose, treat and expedite discharge of tonsillitis and quinsy patients while minimizing risk of COVID-19 transmission.

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    ENT UK COVID-19 Tonsillitis & Quinsy Guidelines FINAL.pdf

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    This document provides guidelines for treating adult tonsillitis and quinsy during the COVID-19 pandemic. It outlines personal protective equipment requirements and an assessment process to determine if a patient is at risk of airway compromise or sepsis. For stable patients, the initial treatment involves IV antibiotics, dexamethasone, fluids, and analgesics, followed by observation and potential discharge with oral medications. For unstable patients, it provides guidelines for admission, IV treatment, and ENT consultation. The guidelines aim to safely diagnose, treat and expedite discharge of tonsillitis and quinsy patients while minimizing risk of COVID-19 transmission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    113 views1 page

    ENT UK COVID-19 Tonsillitis & Quinsy Guidelines FINAL PDF

    Uploaded by

    Febriani Seroja
    This document provides guidelines for treating adult tonsillitis and quinsy during the COVID-19 pandemic. It outlines personal protective equipment requirements and an assessment process to determine if a patient is at risk of airway compromise or sepsis. For stable patients, the initial treatment involves IV antibiotics, dexamethasone, fluids, and analgesics, followed by observation and potential discharge with oral medications. For unstable patients, it provides guidelines for admission, IV treatment, and ENT consultation. The guidelines aim to safely diagnose, treat and expedite discharge of tonsillitis and quinsy patients while minimizing risk of COVID-19 transmission.

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    © All Rights Reserved
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    ENT UK COVID-19 Adult Tonsillitis & Quinsy Guidelines

    Concerned about airway Yes


    compromise or sepsis?
    Personal Protection Equipment - High flow O2
    For ALL ENT examinations & AGPs: - Adrenaline nebs (1-5mg of
    - Surgical Gown 1:1000)
    - Respirator (FFP3 or equivalent) - Consider Heliox
    - Eye protection - 6.6mg IV Dexamethasone STAT
    No
    - Gloves (care if suspected COVID-19)
    - Hat - IV antibiotics (sepsis guidelines)
    - Consider Resus Room Transfer
    - Contact Senior Anaesthetist
    - Contact ENT on-call

    - Treat with history alone when possible


    - Reserve oral examination only for severe cases
    - History suspicious of Quinsy?

    No Yes

    Yes Refer to ENT


    Can the patient swallow Try to avoid oral exam, consider:
    fluids and medication? - Drainage if severe
    - Betadine gargles beforehand
    No

    Initial Treatment Regime to Expedite Discharge


    - IV Antibiotics STAT (Consider Ceftriaxone OD as 24 hr cover)
    - IV Dexamethasone 6.6mg STAT (care if suspected COVID-19)
    - IV Fluids & Analgesia
    - FBC, U&Es, CRP, LFT, Glandular fever screen
    - Test for COVID-19 if available

    Observe for 3-4 hours

    Yes Can the patient swallow No


    fluids and medication?

    Discharge WITH: Admit under ENT WITH:


    - Oral Antibiotics (as per local guidelines) - IV Antibiotics (as per local guidelines)
    - Oral Analgesia - IV Analgesia
    Consider: - IV fluids
    - Short course of steroids (care if suspected - If suspected Quinsy and not already drained,
    COVID-19) consider if clinical deterioration
    - PPI cover
    ENT RAC telephone appointment advice:
    If Quinsy not drained or unilateral symptoms: - If symptoms not improved, ask to re-attend for
    book ENT Rapid Access Clinic (RAC) telephone review +/- drainage
    appointment in 24 hours - Rebook for ENT RAC telephone appointment in
    5-7 days to check for resolution
    - Contact with results of Glandular fever screen

    Authors: Dr G McNally, Ms A Burgess, Ms S Khwaja, If Quinsy still not resolved, check for red flags and
    Ms H Ismail-Koch, Mr E Davies upgrade to 2WW pathway

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