Streptococcal pharyngitis: Difference between revisions
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#GC pharyngitis | #GC pharyngitis | ||
==Treatment== | == Treatment == | ||
CDC Guidelines for adults >15yrs old | CDC Guidelines for adults >15yrs old | ||
{| style="width: 500px" border="1" cellpadding="1" cellspacing="1" | |||
|- | |||
| '''Points<br/>''' | |||
| '''Treatment<br/>''' | |||
|- | |||
| 4<br/> | |||
| Rx presumptive | |||
|- | |||
| 3<br/> | |||
| Rx Presumptive | |||
|- | |||
| 2<br/> | |||
| Rapid Strep Test^ | |||
|- | |||
| 1<br/> | |||
| Do not test/treat | |||
|- | |||
| 0<br/> | |||
| Do not test/treat | |||
|} | |||
3 criteria = 40% PPV | |||
4 criteria = 50% PPV | |||
^No need for cultures after neg rapid test | |||
=== Antibiotics === | |||
PCN (erythro if allergic) | |||
==See Also== | ==See Also== | ||
Revision as of 15:42, 12 March 2011
Background
Most common in children aged 4-7 years
Diagnosis
CENTOR CRITERIA
- History of fever
- Absence of cough
- LAD
- Tonsillar exudate
DDx
- viral pharyngitis
- PTA
- retropharyngeal abscess
- GC pharyngitis
Treatment
CDC Guidelines for adults >15yrs old
| Points |
Treatment |
| 4 |
Rx presumptive |
| 3 |
Rx Presumptive |
| 2 |
Rapid Strep Test^ |
| 1 |
Do not test/treat |
| 0 |
Do not test/treat |
3 criteria = 40% PPV
4 criteria = 50% PPV
^No need for cultures after neg rapid test
Antibiotics
PCN (erythro if allergic)
See Also
See Peritonsilar Abscess
Source
3/19/06 DONALDSON (Adapted from Rosen)