Педиатрическая фармакология (May 2025)

Modern Clinical Guidelines for the Management of Patients with Acute Tonsillitis and Pharyngitis

  • Nikolai A. Dayhes,
  • Alexander A. Baranov,
  • Yurii V. Lobzin,
  • Leyla S. Namazova-Baranova,
  • Roman S. Kozlov,
  • Dmitriy P. Polyakov,
  • Olga V. Karneeva,
  • Alexander V. Gurov,
  • Denis A. Tulupov,
  • Sergey V. Ryazantsev,
  • Tatiana I. Garashchenko,
  • Irina A. Kim,
  • Irina V. Andreeva,
  • Maya D. Bakradze,
  • Anastasia S. Polyakova,
  • Elena A. Vishneva,
  • Lilia R. Selimzyanova,
  • Vladimir K. Tatochenko,
  • Tatiana V. Kulichenko

DOI
https://doi.org/10.15690/pf.v22i2.2897
Journal volume & issue
Vol. 22, no. 2
pp. 164 – 177

Abstract

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Acute tonsillitis and pharyngitis are common infectious diseases of upper respiratory tract causing significant discomfort and various complications in patients. This article covers all the issues of tonsillitis and pharyngitis etiology, pathogenesis, classification. Modern clinical guidelines focus on optimizing the diagnosis, management, and prevention of these conditions, ensuring high quality of medical care.Centor, McIsaac, or FeverPAIN scores can be used for differential diagnosis of viral and streptococcal tonsillopharyngitis. Particular attention is given to the management tactics of patients with these diseases, including the antibiotic therapy for streptococcal tonsillitis. Modern clinical guidelines emphasize the need for individual approach for every patient considering their age, concomitant diseases, and infection course aspects. These guidelines implementation in practice can increase the treatment efficacy, reduce the risk of any complications, and improve the quality of life of patients with acute tonsillitis and pharyngitis.

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