{"id":4362,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/recurrenttonsillitispaeds\/"},"modified":"2025-01-14T11:49:21","modified_gmt":"2025-01-14T11:49:21","slug":"recurrenttonsillitispaeds","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatric-ent\/tonsils-paediatrics\/recurrenttonsillitispaeds\/","title":{"rendered":"Recurrent Tonsillitis"},"content":{"rendered":"\n<title>Recurrent Tonsillitis Paeds<\/title>\n\n\n\n<h4 class=\"wp-block-heading\">Introduction<br><\/h4>\n\n\n\n<p>Most sore throats are due to a viral infection.<br>Acute bacterial tonsillitis is more likely if there are tender and enlarged anterior cervical lymph nodes, fever and absence of coryzal symptoms.<br>If acute bacterial tonsillitis is suspected, treat with Phenoxymethylpenicillin orally (or see the Lothian Joint Formulary in case of penicillin allergy).<\/p>\n\n\n\n<p><strong>C.M &amp; G.T 24-04-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><strong>Referrals can only be accepted for patients who meet the following criteria:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Recurrent sore throats due to bacterial tonsillitis present for a period of 1 year<\/li>\n\n\n\n<li>7 infections in 1 year<\/li>\n\n\n\n<li>5 infections\/year for 2 consecutive years<\/li>\n\n\n\n<li>3 infections\/year for 3 consecutive years<\/li>\n\n\n\n<li>Significant impact on child\u2019s education\/school attendance or parental attendance at work<\/li>\n<\/ul>\n\n\n\n<p><strong><em>Please refer to the A&amp;E department if suspicious of quinsy (peritonsillar abscess) or airways compromise.<\/em><\/strong><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li>Long term prophylactic antibiotic therapy is not recommended<\/li>\n\n\n\n<li>The decision to refer should be based on the frequency and severity of the infections<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Recurrent Tonsillitis Paeds Introduction Most sore throats are due to a viral infection.Acute bacterial tonsillitis is more likely if there are tender and enlarged anterior cervical lymph nodes, fever and absence of coryzal symptoms.If acute bacterial tonsillitis is suspected, treat with Phenoxymethylpenicillin orally (or see the Lothian Joint Formulary in case of penicillin allergy). C.M<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":22506,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[182],"class_list":["post-4362","page","type-page","status-publish","hentry","category-recurrenttonsillitis"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/entpaediatric\/recurrenttonsillitis\/\" rel=\"tag\">Recurrent Tonsillitis (Paeds)<\/a>","rttpg_excerpt":"Recurrent Tonsillitis Paeds Introduction Most sore throats are due to a viral infection.Acute bacterial tonsillitis is more likely if there are tender and enlarged anterior cervical lymph nodes, fever and absence of coryzal symptoms.If acute bacterial tonsillitis is suspected, treat with Phenoxymethylpenicillin orally (or see the Lothian Joint Formulary in case of penicillin allergy). C.M","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4362","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4362"}],"version-history":[{"count":5,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4362\/revisions"}],"predecessor-version":[{"id":14958,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4362\/revisions\/14958"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/22506"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4362"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4362"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}