Actualización del documento de consenso sobre el diagnóstico y tratamiento de la faringoamigdalitis aguda
- Roi Piñeiro Pérez
- Fernando Álvez González
- Fernando Baquero-Artigao
- Marta Cruz Cañete
- Josep de la Flor i Bru
- Ana Fernández Landaluce
- César García Vera
- Francisco Hijano Bandera
- Carlos Pérez Cánovas
- Juan Carlos Silva Rico
ISSN: 1695-4033, 1696-4608
Datum der Publikation: 2020
Ausgabe: 93
Nummer: 3
Seiten: 206-206
Art: Artikel
Andere Publikationen in: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría ( AEP )
Zusammenfassung
An update of the Spanish consensus document on the diagnosis and treatment of acute tonsillopharyngitis is presented. Clinical scores should not be used to prescribe antibiotics, unless microbiological tests are not available or there is a child at risk of rheumatic fever. There is no score better than those set out in the previous consensus. Microbiological tests are recommended in proposed cases, regardless of the result of the scores. Penicillin is the treatment of choice, prescribed twice a day for 10 days. Amoxicillin is the first alternative, prescribed once or twice a day for the same time. First-generation cephalosporins are the treatment of choice in children with non-immediate reaction to penicillin or amoxicillin. Josamycin and midecamycin are the best options for children with immediate penicillin allergic reactions, when non-beta-lactam antibiotics should be used. In microbiological treatment failure, and in streptococcal carriers, the treatments proposed in the previous consensus are still applicable.