EP.TU.201Evaluating and Improving the Management of Tonsilitis in an A+E Department: An Educational Intervention

Abstract Aims Tonsilitis is one of the most common presentations to A+E department. We aimed assess whether patients presenting with tonsilitis are being managed in-line current guidance. then set out educate staff about management and assessed for improvement in management. Methods All fortnight a documented diagnosis were included. reviewed notes choice treatment each case clinical score was used guide (in accordance NICE guideline [NG84]). designed delivered an educational intervention covering guidelines. The audit repeated two weeks later. Results Over study period, 49 included; only 35% (n = 17) had either or all components recorded. In total, 39% 19) treated antibiotics. Of these, 63% 12) should not have been prescribed antibiotic 37% 7) inappropriate antibiotic. At re-audit, 50 cases), 58% 29) 28% 14) 29% 4) antibiotics 21% 3) Thus, after this teaching session, there significant prescribing practices (63% vs 29%, p 0.026). Conclusions assessment frequently deviated from guidelines, but single session vastly improved scoring practices.