Streptococcal pharyngitis: Difference between revisions
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==Background== | ==Background== | ||
Most common in children aged 4-7 years | |||
==Diagnosis== | ==Diagnosis== | ||
===CENTOR CRITERIA=== | |||
#History of fever | |||
CENTOR CRITERIA | #Absence of cough | ||
#LAD | |||
#Tonsillar exudate | |||
==DDx== | ==DDx== | ||
#viral pharyngitis | |||
#PTA | |||
#retropharyngeal abscess | |||
#GC pharyngitis | |||
==Treatment== | ==Treatment== | ||
CDC Guidelines for adults >15yrs old | CDC Guidelines for adults >15yrs old | ||
| Line 50: | Line 29: | ||
0 Do not test/treat | 0 Do not test/treat | ||
Treatment = PCN (erythro if allergic) | Treatment = PCN (erythro if allergic) | ||
3 criteria = 40% PPV | 3 criteria = 40% PPV | ||
| Line 61: | Line 36: | ||
4 criteria = 50% PPV | 4 criteria = 50% PPV | ||
No need for cultures after neg rapid test | |||
==See Also== | ==See Also== | ||
See Peritonsilar Abscess | See Peritonsilar Abscess | ||
==Source== | ==Source== | ||
3/19/06 DONALDSON (Adapted from Rosen) | 3/19/06 DONALDSON (Adapted from Rosen) | ||
[[Category:ENT]] | [[Category:ENT]] | ||
[[Category:ID]] | |||
Revision as of 15:39, 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
Treatment = PCN (erythro if allergic)
3 criteria = 40% PPV
4 criteria = 50% PPV
No need for cultures after neg rapid test
See Also
See Peritonsilar Abscess
Source
3/19/06 DONALDSON (Adapted from Rosen)