Streptococcal pharyngitis: Difference between revisions
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*Likelihood of streptococcal pharyngitis in pts presenting with sore throat | *Likelihood of streptococcal pharyngitis in pts presenting with sore throat | ||
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#History of fever | #History of fever | ||
#Absence of cough | #Absence of cough | ||
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== Treatment == | == Treatment == | ||
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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
| 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