Modern Approaches to the Diagnosis and Treatment of Tonsillopharyngitis (Review of International Guidelines)

Yu.A. Molochek


The article presents an overview of guidelines on the treatment of tonsillopharyngitis in children. Attention is given to the use of nonsteroidal anti-inflammatory drugs (NSAIDs) in this pathology. It is emphasized that the topical application of NSAIDs enables to solve the problem of throat pain relief and improved quality of life in patients with infectious and inflammatory processes in the oropharynx, particularly tonsillopharyngitis of both viral and bacterial origin.


tonsillopharyngitis; children; treatment


Delayed antibiotic prescribing strategies for respiratory tract infections in primary care pragmatic, factorial, randomized controlled trial // BMJ. — 2014. — 348. — g 1606; doi: 10.1136/bmg.g 1606 (published 5 March 2014)

Shulman S.T., Bisno A.L., Clegg H.W., Gerber M.A., Kaplan E.L., Lee G., Martin J.M., van Beneden C. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America // Clin. Infect. Dis. Adv. — 2012. — Access published September 9.

Bisno A.L. Acute pharyngitis: etiology and diagnosis // Pediatrics. — 1996. — 97. — 949-954.

Ebell M.H., Smith V.F., Barry H.C., Ives K., Carey M. The rational clinical examination. Does this patient have strep throat? // JAMA. — 2000. — 284. — 2912-2918.

Дарманян А.С. Совершенствование методов диагностики и лечения острых тонзиллитов у детей: Автореф. дис… канд. мед. наук. — М., 2010.

Bista M., Amatya R.C., Basnet P. Tonsillar microbial flora: a comparison of infected and non-infected tonsils // Kathmandu Univ. Med. J. — 2006. — 4 (1). — 18-21.

Esposito S., Bosis S., Begliatti E., Droghetti R. et al. Acute tonsillopharyngitis associated with atypical bacterial infection in children: natural history and impact of macrolide therapy // Clin. Infect. Dis. — 2006. — 43 (2). — 206-209. = 9012 = 9016

Guideline for the Diagnosis and Management of Acute Pharyngitis. Toward Optimized Practice. Guideline Alberta Clinical Practice. Administered by the Alberta Medical Association.

Chiappini E., Principi N., Mansi N., Serra A., de Masi S., Camaioni A., Esposito S., Felisati G., Galli L., Landi M., Speciale A.M., Bonsignori F., Marchisio P., de Martimo M. Management of acute pharyngitis in children: summary of the Italian Institute of Health guidelines // Clin. Ther. — 2012. — 34 (6). — 1442-1458.

Pelluchi C., Grigoryan L., Galeone C., Esposito S., Huovi­nen P., Little P.and Verheij T. Guideline for the Management of Acute Sore Throat. ESMID Sore Throat Guideline Group // Clinical Microbiology and Infection. — 2012. — Vol. 18, Suppl. 1, April 12.

Stanford T. Shulman, Alan L. Bisno, Herbert W. Clegg, Michael A. Gerber, Edward L. Kaplan, Grace Lee, Judith M. Martin, and Chris Van Beneden. Clinical Practice Guideline for Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America // Clinical Infectious Diseases Advance Access. — Published September 9, 2012.

Little P., Stuart B., Hobbs R. Antibiotic strategies for acute sore throat: a prospective observational cohort study // The Lancet Infectious Diseases, Early Online Publication, 17 January 2014; doi: 10.1016/S1473-3099 (13)70294-9

Meier F.A., Centor R.M., Graham L. Jr., Dalton H.P. Cli­nical and microbiological evidence for endemic pharyngitis among adults due to group C streptococci // Arch. Intern. Med. — 1990. — 150. — 825-829.

McIsaac W.J., Kellner J.D., Aufricht P., Vanjaka A., Low D.E. Empirical validation of guidelines for the management of pharyngitis in children and adults // JAMA. — 2004. — 291. — 1587-1595. Erratum in: JAMA. — 2005. — 294. — 2700.

Глобальная стратегия ВОЗ по сдерживанию устойчивости к противомикробным препаратам WHO/CDS/CSR/DRS/2001.2a,

Spinks A., Glasziou P.P., Del Mar C.B. (2013). Antibiotics for sore throat. Cochrane Database of Systematic Reviews Issue 11: CD000023. DOI: 10.1002/14651858. CD000023.pub4

Spurling G.K.P., Del Mar C.B., Dooley l. et al. Delayed antibiotics for respiratory infections // Cochrane Database of Systematic Reviews. — 2013. — Issue 4: CD004417. DOI: 10.1002/14651858. CD004417.pub4

Copyright (c) 2016 ACTUAL INFECTOLOGY

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2019


   Seo анализ сайта