ebpracticenet urges you to prioritise the following organisational guidance:
Acute KeelpijnPublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2017Mal de gorge aiguPublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2017
In UK general practice, recurrent sore throat has an annual incidence of 100 in 1000 population.[3]Georgalas CC, Tolley NS, Narula PA. Tonsillitis. BMJ Clin Evid. 2014 Jul 22;2014:0503.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4106232
http://www.ncbi.nlm.nih.gov/pubmed/25051184?tool=bestpractice.com
Acute tonsillitis is more common in children between the ages of 5 to 15 years.[1]Wessels MR. Clinical practice. Streptococcal pharyngitis. N Engl J Med. 2011 Feb 17;364(7):648-55.
https://www.doi.org/10.1056/NEJMcp1009126
http://www.ncbi.nlm.nih.gov/pubmed/21323542?tool=bestpractice.com
The prevalence of bacterial tonsillitis, specifically group A streptococci (GAS), is 5% to 15% of cases of pharyngitis in adults and 15% to 30% of cases in children.[1]Wessels MR. Clinical practice. Streptococcal pharyngitis. N Engl J Med. 2011 Feb 17;364(7):648-55.
https://www.doi.org/10.1056/NEJMcp1009126
http://www.ncbi.nlm.nih.gov/pubmed/21323542?tool=bestpractice.com
[2]Miller JM, Binnicker MJ, Campbell S, et al. A guide to utilization of the microbiology laboratory for diagnosis of infectious diseases: 2018 update by the Infectious Diseases Society of America and the American Society for Microbiology. Clin Infect Dis. 2018 Aug 31;67(6):e1-94.
https://academic.oup.com/cid/article/67/6/e1/5046039
http://www.ncbi.nlm.nih.gov/pubmed/29955859?tool=bestpractice.com
Acute tonsillitis is most commonly seen in winter and early spring in temperate climates, although it may occur at any time of the year.[1]Wessels MR. Clinical practice. Streptococcal pharyngitis. N Engl J Med. 2011 Feb 17;364(7):648-55.
https://www.doi.org/10.1056/NEJMcp1009126
http://www.ncbi.nlm.nih.gov/pubmed/21323542?tool=bestpractice.com
[4]Sykes EA, Wu V, Beyea MM, et al. Pharyngitis: approach to diagnosis and treatment. Can Fam Physician. 2020 Apr;66(4):251-7.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145142
http://www.ncbi.nlm.nih.gov/pubmed/32273409?tool=bestpractice.com
[5]Wald ER, Green MD, Schwartz B, et al. A streptococcal score card revisited. Pediatr Emerg Care. 1998 Apr;14(2):109-11.
http://www.ncbi.nlm.nih.gov/pubmed/9583390?tool=bestpractice.com