Recommendations for Management of Acute Pharyngitis in Adults

作者: Josep M. Cots , Juan-Ignacio Alós , Mario Bárcena , Xavier Boleda , José L. Cañada

DOI: 10.1016/J.OTOENG.2015.05.003

关键词: AmoxicillinPenicillinMedicineStreptococcus pyogenesStreptococcusIntensive care medicineAntibioticsAcute PharyngitisOverdiagnosisPharyngitis

摘要: Acute pharyngitis in adults is one of the most common infectious diseases seen general practitioners' consultations. Viral aetiology common. Among bacterial causes, main agent Streptococcus pyogenes or group A β-haemolytic streptococcus (GABHS), which causes 5%-30% episodes. In diagnostic process, clinical assessment scales can help clinicians to better predict suspected by selecting patients who should undergo a rapid antigen detection test. If these techniques are not performed, an overdiagnosis streptococcal often occurs, resulting unnecessary prescriptions antibiotics, broad spectrum. Consequently, management algorithms that include use predictive rules and tests have been set up. The aim treatment speeding up symptom resolution, reducing contagious time span preventing local suppurative non-suppurative complications. Penicillin amoxicillin antibiotics choice for pharyngitis. association clavulanate indicated as initial acute infection. Neither macrolides first-line therapy; they be reserved allergic penicillin. appropriate diagnosis proper based on scientific evidence available crucial. Using helpful identifying screening cases do require antibiotic therapy.

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