A patient consults with their GP

Recurrent tonsillitis

Statewide referral criteria

Specialty: ENT
Age group: Adult

Direct to an appropriate emergency department for:

  • Abscess or haematoma (e.g. peritonsillar abscess or quinsy)
  • Acute tonsillitis with:
    • difficulty in breathing
    • unable to tolerate oral intake
    • uncontrolled fever
  • Post-operative tonsillar haemorrhage

Criteria for referral to public hospital specialist clinic services

  • Chronic or recurrent infection with fever or malaise and decreased oral intake and any of the following:
    • four or more episodes in the last 12 months
    • six or more episodes in the last 24 months
    • tonsillar concretions with halitosis
    • absent from work or studies for four or more weeks in a year
  • Suspicious unilateral tonsillar solid mass with or without ear pain

Information to be included in the referral

Information that must be provided:

  • History of tonsillitis episodes and response to treatment
  • If the patient is taking anticoagulant, or any other medicine that may reduce coagulation, or if there is a family history of coagulation disorder

Provide if available:

Not applicable.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Where appropriate and available, the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

  • If the patient is not willing to have surgical treatment
  • Halitosis without other symptoms.

Updated

Where to get help

Patients
For information about your specific medical condition, care pathway and/or wait times, please contact your GP or health service that you have been referred to.

General Practitioners
If your query relates to a referral for a specialist clinic, please contact the relevant health service directly or refer to their website for guidance.

For all other queries
Email plannedcare@health.vic.gov.au.