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Re: Corticosteroids for sore throat: a clinical practice guideline
As an ENT trainee doctor, we often see patients with sore throats (tonsillitis, EBV or Quinsey). From experience and internal audits, the vast majority of presenting sore throat to the hospital setting is tonsillitis. It is common practice to treat these patients with corticosteroids, especially when not eating and drinking. From looking at the responses of the clinicians in the primary care setting, it may not be common practice to prescribe steroids for sore throats, as it is a self-limiting condition. I wonder if the use of steroids has more application in the secondary care setting, in terms of improving symptoms and subsequently reduced inpatient hospital stays.