Diagnosis of acute tonsillopharyngitis in primary care: a new approach for low-resource settings.
J Chemother
; 25(3): 148-55, 2013 Jun.
Article
em En
| MEDLINE
| ID: mdl-23783139
ABSTRACT
BACKGROUND:
Diagnosing GABHS (Group A-beta Hemolytic Streptococcus) tonsillopharyngitis by clinical scoring is a recommended approach in developed countries, but there is still much controversy for low resource settings.AIM:
We aimed to assess the impact of Centor criteria with the support of practical laboratory tests.METHODS:
We prospectively included patients complaining sore throat (N = 282). We evaluated them in terms of Centor scoring and performed white blood cell count (WBC), C-reactive protein (CRP), rapid antigen detecting test, and throat culture.RESULTS:
In GABHS cases (N = 32, 11·3%), two of the criteria were observed to be positive in more than half of the cases (N = 19, 59·3%), while 13 (40·7%) cases met three/four criteria. The specificity of having two criteria was found to be 65·5% and increased to 91·5% after including CRP and WBC.CONCLUSION:
Centor criteria could be safely used to reduce unnecessary antibiotic usage for tonsillopharyngitis in developing countries.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Exame Físico
/
Infecções Estreptocócicas
/
Streptococcus pyogenes
/
Proteína C-Reativa
/
Faringite
/
Contagem de Leucócitos
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Chemother
Ano de publicação:
2013
Tipo de documento:
Article