Tonsillitis

Antimicrobial prescribing: NHS Grampian, Orkney & Shetland
NHS Grampian

Micro Organisms

Streptococcus pyogenes

Duration

10 days

First Line

Therapy

Oral Phenoxymethylpenicillin

Notes:

If severe or unable to swallow

Therapy

IV Benzylpenicillin

Notes:

In penicillin allergy

Therapy

Oral Clarithromycin

Notes:

If severe or unable to swallow AND penicillin allergy

Therapy

IV Clarithromycin

Notes:

Notes

Send bacterial throat swab and blood for Epstein blood virus (EBV) serology if indicated.