Streptococcal pharyngitis: Difference between revisions
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^No need for cultures after neg rapid test | ^No need for cultures after neg rapid test | ||
Revision as of 11:39, 21 November 2011
Background
- Likelihood of streptococcal pharyngitis in pts presenting with sore throat
CENTOR CRITERIA
- History of fever
- Absence of cough
- Lymphadenopathy
- Tonsillar exudate
DDx
- Viral pharyngitis
- PTA
- Retropharyngeal abscess
- GC pharyngitis
Treatment
CENTOR: CDC Guidelines for adults >15yrs old
| Points |
Treatment |
| 4 |
Rx without testing |
| 3 |
Rx without testing |
| 2 |
Rapid Strep Test^ |
| 1 |
Do not test/treat |
| 0 |
Do not test/treat |
- 3 criteria = 40% PPV
- 4 criteria = 50% PPV
- 0 criteria - 80% NPV
^No need for cultures after neg rapid test
Antibiotics
- PCN (erythro if allergic)
See Also
Source
- Rosen's