Acute tonsillopharyngitis in children. The current state of the problem


  • S.O. Kramarov Bogomolets National Medical University, Kyiv, Ukraine
  • V.V. Yevtushenko Bogomolets National Medical University, Kyiv, Ukraine
  • L.A. Ivanova Bukovinian State Medical University, Chernivtsi, Ukraine
  • I.B. Gorbatiuk Bukovinian State Medical University, Chernivtsi, Ukraine



tonsillopharyngitis, treatment, children


Acute tonsillopharyngitis is one of the most common infectious diseases in children. Viral etiology is the most common. Among bacterial causes, the main causative agent is Streptococcus pyogenes or group A beta-hemolytic Streptococcus, which causes about 30 % of episodes. Diphtheria and necroba­cillosis are infrequent but they are associated with severe course of disease. In the process of diagnosis, clinical evaluation scales can help clinicians better predict suspected bacterial etiology by selecting patients. The use of management algorithms may be useful for identifying and screening cases that do not require antibiotic therapy. Beta-lactam antibiotics or macrolides are recommended for the treatment of streptococcal tonsillopharyngitis. Proper diagnosis of bacterial tonsillopharyngitis and correct use of antibiotics based on available scientific evidence are crucial.


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