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

https://doi.org/10.15690/pf.v22i2.2897

Abstract

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.

About the Authors

Nikolai A. Dayhes
National Medical Research Center for Otorhinolaryngology
Russian Federation

Moscow


Disclosure of interest:

Not declared



Alexander A. Baranov
Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery; Sechenov First Moscow State Medical University
Russian Federation

Moscow


Disclosure of interest:

Not declared



Yurii V. Lobzin
Children’s Research and Clinical Center for Infectious Diseases
Russian Federation

Moscow


Disclosure of interest:

Not declared



Leyla S. Namazova-Baranova
Pirogov Russian National Research Medical University; Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery
Russian Federation

Moscow


Disclosure of interest:

Not declared



Roman S. Kozlov
Smolensk State Medical University
Russian Federation

Smolensk


Disclosure of interest:

Not declared



Dmitriy P. Polyakov
National Medical Research Center for Otorhinolaryngology; Pirogov Russian National Research Medical University
Russian Federation

Moscow


Disclosure of interest:

Not declared



Olga V. Karneeva
National Medical Research Center for Otorhinolaryngology
Russian Federation

Moscow


Disclosure of interest:

Not declared



Alexander V. Gurov
Pirogov Russian National Research Medical University
Russian Federation

Moscow


Disclosure of interest:

Not declared



Denis A. Tulupov
Russian Medical Academy of Continuing Professional Education
Russian Federation

Moscow


Disclosure of interest:

Not declared



Sergey V. Ryazantsev
Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech
Russian Federation

Saint-Petersburg


Disclosure of interest:

Not declared



Tatiana I. Garashchenko
National Medical Research Center for Otorhinolaryngology; Pirogov Russian National Research Medical University
Russian Federation

Moscow


Disclosure of interest:

Not declared



Irina A. Kim
National Medical Research Center for Otorhinolaryngology
Russian Federation

Moscow


Disclosure of interest:

Not declared



Irina V. Andreeva
Smolensk State Medical University
Russian Federation

Smolensk


Disclosure of interest:

Not declared



Maya D. Bakradze
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

Not declared



Anastasia S. Polyakova
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

Not declared



Elena A. Vishneva
Pirogov Russian National Research Medical University; Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery
Russian Federation

Moscow


Disclosure of interest:

Not declared



Lilia R. Selimzyanova
Pirogov Russian National Research Medical University; Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery; Sechenov First Moscow State Medical University
Russian Federation

Moscow


Disclosure of interest:

Not declared



Vladimir K. Tatochenko
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

Not declared



Tatiana V. Kulichenko
Pirogov Russian National Research Medical University
Russian Federation

Moscow


Disclosure of interest:

Not declared



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Review

For citations:


Dayhes N.A., Baranov A.A., Lobzin Yu.V., Namazova-Baranova L.S., Kozlov R.S., Polyakov D.P., Karneeva O.V., Gurov A.V., Tulupov D.A., Ryazantsev S.V., Garashchenko T.I., Kim I.A., Andreeva I.V., Bakradze M.D., Polyakova A.S., Vishneva E.A., Selimzyanova L.R., Tatochenko V.K., Kulichenko T.V. Modern Clinical Guidelines for the Management of Patients with Acute Tonsillitis and Pharyngitis. Pediatric pharmacology. 2025;22(2):164-177. (In Russ.) https://doi.org/10.15690/pf.v22i2.2897

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