Antimicrobial prescribing: NHS Forth Valley
Important: Therapy
Phenoxymethylpenicillin PO for 5-10 days (10 days if Scarlet fever)
If non responsive to Pen V - switch to Co-amoxiclav
Use IV benzylpenicillin if severe
Notes:
Add clindamycin if evidence of toxin mediated disease
Acute Tonsillitis or Quinsy
Micro Organisms
Strep. pyogenes
Qunisy can be polymicrobial
Important: Therapy
Azithromycin PO for 5 days
Ceftriaxone IV if severe
Notes:
Add clindamycin if evidence of toxin mediated disease
Important: Notes
Only use IV route if patient unable to swallow
It is difficult to differentiate bacterial from viral infection - see information on Sore Throat
If Quinsy - contact ENT