Principles of Appropriate Antibiotic Use for Acute Pharyngitis in Adults

@article{Snow2001PrinciplesOA,
  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},
  year={2001},
  volume={134},
  pages={506-508}
}
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… Expand
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234 Citations
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15
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234 Citations

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Principles of Appropriate Antibiotic Use: Acute Pharyngitis
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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. Expand
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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. Expand
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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. Expand
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Empiric antibiotic therapy in children with score 4 in MCS will result in significant overtreatment of those with nonstreptococcal pharyngitis, and new generation RADT diagnostic value in GAS detection proved to be equivalent to that of culture, which obviates the need of backup culture inChildren with negative RADT results. Expand
Determinants of antibiotic use and throat culture in managing pharyngitis among primary health care physicians in Beirut.
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A high prescription rate of antibiotics and a lack of adherence to clinical guidelines by PHC physicians in the management of pharyngitis were showed. Expand
Role of the Microbiology Laboratory in Diagnosis and Management of Pharyngitis
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  • Medicine
  • Journal of Clinical Microbiology
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TLDR
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. Expand
Diagnosis and Management of Adults with Pharyngitis: A Cost-Effectiveness Analysis
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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. Expand
Pharyngitis , Diagnosis and Empiric antibiotic treatment Considerations
Pharyngitis is the common disorder more in children than adults. Pharyngitis is common in the developing countries. In the United States pharyngitis is diagnosed in 11 million patients in emergency… Expand
Clinical Mimics: An Emergency Medicine-Focused Review of Streptococcal Pharyngitis Mimics.
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This article provides a review of the evaluation and management of group A β-hemolytic Streptococcal (GABHS) pharyngitis, as well as important medical conditions that can mimic this disease. Expand
Different antibiotic treatments for group A streptococcal pharyngitis.
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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. Expand
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