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[Diagnosis and treatment of acute tonsillopharyngitis. Consensus document update]

Roi Piñeiro Pérez¹, Fernando Álvez González², Fernando Baquero-Artigao²

¹Sociedad Española de Infectología Pediátrica (SEIP); Comité de Medicamentos de la Asociación Española de Pediatría (CM-AEP).

Anales De Pediatria

|July 2, 2020

Abstract:

An update of the Spanish consensus document on the diagnosis and treatment of acute tonsillopharyngitis is presented. Clinical scores should not be used to prescribe antibiotics, unless microbiological tests are not available or there is a child at risk of rheumatic fever. There is no score better than those set out in the previous consensus. Microbiological tests are recommended in proposed cases, regardless of the result of the scores. Penicillin is the treatment of choice, prescribed twice a day for 10 days. Amoxicillin is the first alternative, prescribed once or twice a day for the same time. First-generation cephalosporins are the treatment of choice in children with non-immediate reaction to penicillin or amoxicillin. Josamycin and midecamycin are the best options for children with immediate penicillin allergic reactions, when non-beta-lactam antibiotics should be used. In microbiological treatment failure, and in streptococcal carriers, the treatments proposed in the previous consensus are still applicable.

Keywords:

Adecuación Antibiotics Antibióticos Appropriateness Children Consensus document Diagnosis Diagnóstico Documento de consenso Estreptococo Faringoamigdalitis Niños Rational use Streptococcus Streptococcus pyogenes Tonsillopharyngitis Tratamiento Treatment Uso racional

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