Streptococcal pharyngitis: Difference between revisions
No edit summary |
No edit summary |
||
| Line 36: | Line 36: | ||
|} | |} | ||
*4 criteria = 50% PPV | |||
*3 criteria = 40% PPV | *3 criteria = 40% PPV | ||
*0 criteria - 80% NPV | *0 criteria - 80% NPV | ||
Revision as of 11:40, 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 |
- 4 criteria = 50% PPV
- 3 criteria = 40% PPV
- 0 criteria - 80% NPV
^No need for cultures after neg rapid test
Antibiotics
- PCN (erythro if allergic)
See Also
Source
- Rosen's