Principles of Appropriate Antibiotic Use for Acute Pharyngitis in Adults

  title={Principles of Appropriate Antibiotic Use for Acute Pharyngitis in Adults},
  author={Vincenza Snow and Christel Mottur-Pilson and Richelle J. Cooper and Jerome R. Hoffman},
  journal={Annals of Internal Medicine},
In this guideline, we present the evidence and make specific recommendations on how clinicians can distinguish and diagnose pharyngitis caused by group A -hemolytic streptococcus (GABHS). We also discuss when antibiotic use is beneficial and which antibiotics should be used. This guideline will not cover gonococcal pharyngitis and diphtheria, for which the appropriateness of immediate antibiotic treatment is well established. The numbers in square brackets are cross-references to the numbered… 

Principles of Appropriate Antibiotic Use: Acute Pharyngitis

New guidelines for the diagnosis and treatment of group A streptococcal pharyngitis in adults depart from recommendations of other expert committees by endorsing antibiotic treatment on the basis of typical clinical criteria alone, and may encourage practitioners to believe what most authorities do not, namely that group A streaks can be dependably diagnosed byclinical criteria alone.

Management of acute streptococcal pharyngitis: still the subject of controversy

  • E. Mazur
  • Medicine
    Central European journal of medicine
  • 2013
The aim of this review work is to confront the state of the art in acute GAS pharyngitis diagnosis and treatment with different approaches to its management represented by current European and North American guidelines.

Update on the management of acute pharyngitis in children

There isn't a joint agreement on the management of streptococcal pharyngitis, but penicillin is considered all over the world as first line treatment, but oral amoxicillin is also accepted and, due to its better palatability, can be a suitable option.

Determinants of antibiotic use and throat culture in managing pharyngitis among primary health care physicians in Beirut.

A high prescription rate of antibiotics and a lack of adherence to clinical guidelines by PHC physicians in the management of pharyngitis were showed.

Role of the Microbiology Laboratory in Diagnosis and Management of Pharyngitis

  • P. Bourbeau
  • Medicine, Biology
    Journal of Clinical Microbiology
  • 2003
Additional study is needed to clarify the benefit, if any, for the diagnosis and treatment of for beta-hemolytic streptococci other than GAS, and the benefits of antimicrobial therapy against these organisms are currently unknown.

Diagnosis and Management of Adults with Pharyngitis: A Cost-Effectiveness Analysis

A decision model was developed to evaluate common strategies for managing adult patients with pharyngitis and the short-term cost-effectiveness of five strategies and the effect of a decision rule on those strategies was examined.

Pharyngitis , Diagnosis and Empiric antibiotic treatment Considerations

A 10 days course of penicillin remains treatment of choice, macrolide forPenicillin allergic patients, amoxicillin has the advantage of less frequent dosing, use of broad spectrum antibiotics thought to contribute to antibiotic resistance.

Different antibiotic treatments for group A streptococcal pharyngitis.

The evidence on the comparative incidence of adverse effects and the risk-benefit of antibiotic treatment for streptococcal pharyngitis, comparing different antibiotics, and reporting at least one of the following: clinical cure, clinical relapse, or complications and/or adverse events was poor.