biostudies-literatureUnknown50(1)Chiappini ESore throat represents one of the main causes of antibiotic overprescription in children. Its management is still a matter of debate, with countries considering streptococcal pharyngotonsillitis a benign and self-limiting condition and others advocating for its antibiotic treatment to prevent suppurative complications and acute rheumatic fever. Italian paediatricians frequently prescribe antibiotics on a clinical basis regardless of microbiological results. Moreover, broad-spectrum antibiotics are inappropriately prescribed for this condition. In this regard, an intersociety consensus conference was issued to promote the judicious use of antibiotic therapy in paediatric outpatient settings. A systematic review of the literature was performed, and updated recommendations were developed accoItalian journal of pediatrics235https://www.ebi.ac.uk/biostudies/studies/S-EPMC11539554biostudies-literatureTreatment of acute pharyngitis in children: an Italian intersociety consensus (SIPPS-SIP-SITIP-FIMP-SIAIP-SIMRI-FIMMG).PMC11539554Tezza GSimeone GCapuano ACursi LSullo MGGuarino ABruzzese EReggiani LStefani SEsposito SDi Mauro GPierantoni LD'Avino AStaiano AMarseglia GLDona DGalli LVerga MCChiappini EScotese ICricelli CDoria MBiasci PLorenzetti GFusco EVenturini EMatera LLo Vecchio APellizzari SBarbieri EScotti SMidulla FRiccio SGattinara GCPellegrino RIavarone SPrincipi NTerracciano LBergamini MFusani LGhiglioni DMancino EGarazzino SDinardo GIacono IDfalseTreatment of acute pharyngitis in children: an Italian intersociety consensus (SIPPS-SIP-SITIP-FIMP-SIAIP-SIMRI-FIMMG).Sore throat represents one of the main causes of antibiotic overprescription in children. Its management is still a matter of debate, with countries considering streptococcal pharyngotonsillitis a benign and self-limiting condition and others advocating for its antibiotic treatment to prevent suppurative complications and acute rheumatic fever. Italian paediatricians frequently prescribe antibiotics on a clinical basis regardless of microbiological results. Moreover, broad-spectrum antibiotics are inappropriately prescribed for this condition. In this regard, an intersociety consensus conference was issued to promote the judicious use of antibiotic therapy in paediatric outpatient settings. A systematic review of the literature was performed, and updated recommendations were developed acco2024-01-01T00:00:00Z2024 Nov2025-04-19T04:25:12.085Z2025-04-19T04:25:12.085ZS-EPMC115395543950129810.1186/s13052-024-01789-5