Diferencia entre revisiones de «Streptococcal pharyngitis»

Sin resumen de edición
Sin resumen de edición
Línea 24: Línea 24:
|-
|-
| 3<br/>
| 3<br/>
| Rx without testing
| Rapid Strep Test
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| 2<br/>
| 2<br/>
| Rapid Strep Test^
| Rapid Strep Test
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| 1<br/>
| 1<br/>
Línea 39: Línea 39:
*3 criteria = 40% PPV
*3 criteria = 40% PPV
*0 criteria - 80% NPV
*0 criteria - 80% NPV
^No need for cultures after neg rapid test


=== Antibiotics ===
=== Antibiotics ===

Revisión del 11:41 21 nov 2011

Background

  • Likelihood of streptococcal pharyngitis in pts presenting with sore throat

Centor Criteria

  1. History of fever
  2. Absence of cough
  3. Lymphadenopathy
  4. Tonsillar exudate

DDx

  1. Viral pharyngitis
  2. PTA
  3. Retropharyngeal abscess
  4. GC pharyngitis

Treatment

Points
Treatment
4
Rx without testing
3
Rapid Strep Test
2
Rapid Strep Test
1
Do not test/treat
0
Do not test/treat
  • 4 criteria = 50% PPV
  • 3 criteria = 40% PPV
  • 0 criteria - 80% NPV

Antibiotics

  • PCN (erythro if allergic)

See Also

Source

  • Rosen's