Scribd Logo
Upload

Welcome to Scribd!

  • 774 views

    Algorithm of Tonsillitis

    Uploaded by

    Bobet Reña
    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.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    Algorithm of Tonsillitis

    Uploaded by

    Bobet Reña
    774 views1 page
    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.

    Original Description:

    Algorithm for Tonsillitis

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    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.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    774 views1 page

    Algorithm of Tonsillitis

    Uploaded by

    Bobet Reña
    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.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    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

    You might also like