Important: Therapy
Penicillin V PO for 5 days
Severe or worsening: Co-amoxiclav PO for 5 days
Usually viral - If symptoms <10 days no antibiotics usually required unless systemically unwell.
In complicated cases antibiotics can be used - Consider ENT review.
Penicillin V PO for 5 days
Severe or worsening: Co-amoxiclav PO for 5 days
< 12 years - Azithomycin PO for 5 days
> 12 years - Doxycyline PO for 5 days
Only give antibiotics for persistent symptoms or purulent discharge for >10 days