Streptococcal pharyngitis: Difference between revisions
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==Background== | ==Background== | ||
*Likelihood of streptococcal pharyngitis in pts presenting with sore throat | |||
==CENTOR CRITERIA== | |||
#History of fever | #History of fever | ||
#Absence of cough | #Absence of cough | ||
# | #Lymphadenopathy | ||
#Tonsillar exudate | #Tonsillar exudate | ||
==DDx== | ==DDx== | ||
# | #Viral pharyngitis | ||
#PTA | #PTA | ||
# | #Retropharyngeal abscess | ||
#GC pharyngitis | #GC pharyngitis | ||
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=== Antibiotics === | === Antibiotics === | ||
*PCN (erythro if allergic) | |||
PCN (erythro if allergic) | |||
==See Also== | ==See Also== | ||
*[[Peritonsilar Abscess]] | |||
==Source== | ==Source== | ||
*Rosen's | |||
[[Category:ENT]] | [[Category:ENT]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 11:37, 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 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
Source
- Rosen's