Diagnosing strep throat in the adult patient: Do clinical criteria really suffice?

被引:22
作者
Bisno, AL [1 ]
机构
[1] Univ Miami, Sch Med, Miami Vet Affairs Med Ctr, Miami, FL 33125 USA
关键词
D O I
10.7326/0003-4819-139-2-200307150-00015
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this issue, Neuner and colleagues report a cost-effectiveness analysis of the diagnosis and treatment of adults with pharyngitis caused by group A β-hemolytic streptococcus. Contrary to a recent American College of Physicians practice guideline, they found that treatment based on history and physical findings alone was the least effective strategy. Until controlled clinical studies measure the added value of the rapid antigen test or culture for GAS, the author does not believe it is prudent to rely exclusively on clinical criteria to diagnose and manage pharyngitis.
引用
收藏
页码:150 / 151
页数:2
相关论文
共 19 条
[1]   Diagnosis of strep throat in adults: Are clinical criteria really good enough? [J].
Bisno, AL ;
Peter, GS ;
Kaplan, EL .
CLINICAL INFECTIOUS DISEASES, 2002, 35 (02) :126-129
[2]   Practice guidelines for the diagnosis and management of group A streptococcal pharyngitis [J].
Bisno, AL ;
Gerber, MA ;
Gwaltney, JM ;
Kaplan, EL ;
Schwartz, RH .
CLINICAL INFECTIOUS DISEASES, 2002, 35 (02) :113-125
[3]  
Centor R M, 1981, Med Decis Making, V1, P239, DOI 10.1177/0272989X8100100304
[4]  
*COMM INF DIS, 2001, 2000 RED BOOK, P526
[5]   Principles of appropriate antibiotic use for acute pharyngitis in adults: Background [J].
Cooper, RJ ;
Hoffman, JR ;
Bartlett, JC ;
Besser, RE ;
Gonzales, R ;
Hickner, JM ;
Sande, MA .
ANNALS OF INTERNAL MEDICINE, 2001, 134 (06) :509-517
[6]  
DAJANI A, 1995, PEDIATRICS, V96, P758
[7]   Macholide resistance in group A Streptococcus [J].
Freeman, AF ;
Shulman, ST .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2002, 21 (12) :1158-1160
[8]   Optical immunoassay test for group A beta-hemolytic streptococcal pharyngitis - An office-based, multicenter investigation [J].
Gerber, MA ;
Tanz, RR ;
Kabat, W ;
Dennis, E ;
Bell, GL ;
Kaplan, EL ;
Shulman, ST .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (11) :899-903
[9]   Why have group A streptococci remained susceptible to penicillin? Report on a symposium [J].
Horn, DL ;
Zabriskie, JB ;
Austrian, R ;
Cleary, PP ;
Ferretti, JJ ;
Fischetti, VA ;
Gotschlich, E ;
Kaplan, EL ;
McCarty, M ;
Opal, SM ;
Roberts, RB ;
Tomasz, A ;
Wachtfogel, Y .
CLINICAL INFECTIOUS DISEASES, 1998, 26 (06) :1341-1345
[10]   THE PREDICTION OF STREPTOCOCCAL PHARYNGITIS IN ADULTS [J].
KOMAROFF, AL ;
PASS, TM ;
ARONSON, MD ;
ERVIN, CT ;
CRETIN, S ;
WINICKOFF, RN ;
BRANCH, WT .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1986, 1 (01) :1-7