What Is the Evidence-Based Treatment for Acute Laryngitis?

Acute laryngitis (CA05.0) commonly presents with dysphonia. Acute viral laryngitis accounts for most cases and does not represent a bacterial infection — a distinction that directly determines which interventions are and are not appropriate.

The protocol details first-line management of acute laryngitis, with explicit guidance — grounded in systematic reviews and randomised trials — on which commonly considered interventions are not indicated and under what conditions certain agents may be appropriate.

References

  • The guideline strongly recommends against prescribing antibiotics for dysphonia based on systematic reviews and randomized trials that showed antibiotics to be ineffective.
  • Acute viral laryngitis is the cause of dysphonia in most patients and is not a bacterial infection; therefore, antibiotics would be ineffective.
  • Based on randomized trials showing adverse effects, corticosteroids should not be prescribed for dysphonia before laryngoscopy has been performed.
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