To save favorites, you must log in. Creating an account is free, easy, and takes about 60 seconds. Log in to create a list of your favorite calculators! New guidelines from the IDSA Infectious Disease Society of America no longer recommend empiric treatment for patients alone; they recommend testing patients that are at higher risk for strep pharyngitis, but not giving antibiotics until a rapid test is positive or a throat culture is positive. The modified criteria by McIsaac et al include an age component, along with tonsillar swelling, as part of the rule. GAS is incredibly rare in patients under 3 and less common in older adults, so this can help clinicians risk stratify patients.
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Immediate access to this article To see the full article, log in or purchase access. Francis Hospital, Memphis. She also completed a faculty development fellowship at the Waco Tex. Faculty Development Center Address correspondence to Beth A. Reprints are not available from the author. Author disclosure: Dr. Adv Data. Practice guidelines for the diagnosis and management of group A streptococcal pharyngitis.
Clin Infect Dis. Burden of acute sore throat and group A streptococcal pharyngitis in school-aged children and their families in Australia. Aetiology of respiratory tract infections: clinical assessment versus serological tests.
Br J Gen Pract. The rational clinical examination. Does this patient have strep throat? The diagnosis of strep throat in adults in the emergency room. Med Decis Making. The validity of a sore throat score in family practice.
Ebell MH. Making decisions at the point of care: sore throat. Fam Pract Manag. A clinical score to reduce unnecessary antibiotic use in patients with sore throat. Gerber MA. Comparison of throat cultures and rapid strep tests for diagnosis of streptococcal pharyngitis. Pediatr Infect Dis J. Effect of using 2 throat swabs vs 1 throat swab on detection of group A streptococcus by a rapid antigen detection test. Arch Pediatr Adolesc Med. Diagnosis and management of adults with pharyngitis.
A cost-effectiveness analysis. Ann Intern Med. Throat culture is necessary after negative rapid antigen detection tests. Clin Pediatr Phila. Optical immunoassay test for group A beta-hemolytic streptococcal pharyngitis. An office-based, multicenter investigation. Diagnosis and management of pharyngitis in a pediatric population based on cost-effectiveness and projected health outcomes. Fischer P. Defending the real standard of care.
Accessed September 24, Principles of appropriate antibiotic use for acute pharyngitis in adults: background. Red Book. Elk Grove Village, Ill. Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever: a statement for health professionals. Pharyngitis management: defining the controversy. J Gen Intern Med. Antibiotics for sore throat. Cochrane Database Syst Rev.
Design Retrospective cohort study. Setting The emergency department of a large tertiary university hospital in Brussels, with over 20 yearly visits for children below age Participants All medical records from to of children between ages 2 and 16, who were diagnosed with pharyngitis, tonsillitis or sore throat and having a throat swab culture for GABHS. Children with underlying chronic respiratory, cardiac, haematological or immunological diseases and children who had already received antibiotics AB prior to the PED consult were excluded. Only records with a full disease history were selected. Out of a total visits for sore throats, met our criteria. The children were divided into two age groups, 2—5 and 5—16 years.
Sore throat (acute): antimicrobial prescribing
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