Treatment Guideline Chart
Tonsillopharyngitis is the inflammation of the tonsils and pharynx.
Etiologies include bacterial and viral pathogens.
Sore throat is the most common presenting symptom in older children.

Tonsillopharyngitis%20-%20acute%20(pediatric) Treatment

Surgical Intervention

  • For recurrent tonsillopharyngitis, surgery aims reduction in occurrence of sore throat and improved general health with tonsillectomy
Indications for Tonsillectomy
Recurrent Tonsillitis
  • Sore throat due to inflammation of tonsils
  • ≥7 episodes of tonsillitis over a 12-month period or ≥5 episodes/year in the past 2 years or ≥3 episodes/year in the past 3 years with documentation for each episode of sore throat and ≥1 of the following:
    • Temperature ≥38.3°C (≥101°F)
    • Cervical adenopathy
    • Tonsillar exudate
    • Positive test for GABHS infection
  • Symptoms interfere with patient’s normal daily function
Peritonsillar Abscess or Quinsy
  • All abscesses should be drained
  • Tonsillectomy if without response to appropriate antibiotics and/or incision and drainage
Contraindications to Tonsillectomy
  • Velopharyngeal insufficiency, hematologic factors (anemia, etc) and presence of local infection
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