New guidelines for the treatment of tonsillitis

New guidelines for the treatment of tonsillitis

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Under the leadership of the German Society for Otorhinolaryngology, Head and Neck Surgery (DGHNO KHC), the interdisciplinary guideline for the treatment of inflammatory diseases of the tonsils was revised and published. It contains recommendations and statements on targeted diagnosis and treatment of inflamed tonsils.

The importance of the guideline can be seen from the fact that in Germany the diagnosis of acute or chronic tonsillitis is made more than 100,000 times a year and over 100,000 tonsil operations are performed annually.

The guideline replaces the previous recommendations for operative tonsil removal. The experts advise against unnecessary blood and urine tests. This includes in particular the determination of the antistreptolysin titer (ASL titer), which has proven to be meaningless in this context.
The experts now recommend antibiotics only under clearly defined conditions using a special evaluation system. In addition, the national guideline is positioning itself for the first time to benefit from the safer partial removal of the tonsils (tonsillotomy). The new guidelines for the treatment of tonsillitis can be found here. (pm)

Image: Dan Race - fotolia

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Video: Evidence-Based Interventions: tonsillectomy for recurrent tonsillitis surgery


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