Sore throat

Current Care Summary
Working group appointed by the Finnish Medical Society Duodecim, the Finnish Association for Central Practice, the Finnish Otolaryngological Society, Infectious Diseases Society of Finland and the Clinical Microbiologists Society

Current Care Guideline «Nielutulehdus»1 and Summary in Finnish «Nielutulehdus»2

Sore throat (pharyngitis) is typically a viral infection. Patients should be informed that pharyngitis is usually a mild, self-healing disease. Throat swab is recommended for adults with two or more symptoms: fever over 38°C, swollen submandibular lymph nodes, tonsillar exudate and no cough. Children under 15 years of age with any of these symptoms should be tested. If antibiotic is indicated, penicillin is the preferred choice, whereas first generation cephalosporins are recommended for those with penicillin allergy. Antibiotics can be started for patients with high fever before culture results are available. Adequate pain medication is important.

Hans Blomberg

Hannele Kotilainen

Tommi Liukko

Marjukka Mäkelä

Alpo Vuorio