Adult and pediatric pharyngitis: a review.
Acute pharyngitis is frequently encountered in the ambulatory care setting. Although usually of viral etiology, streptococcal disease is the focus of diagnostic efforts, in light of significant suppurative and nonsuppurative sequelae. The traditional symptoms of fever, adenopathy, and pharyngeal exudate are suggestive, but not diagnostic of streptococcal pharyngitis. Thus, the importance of diagnostic testing, including Group A beta hemolytic strep antigen screen and culture, is emphasized. Recent innovations in therapy include modification of antibiotic dosing regimens and use of cephalosporins to improve patient compliance.
Vukmir
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RB
Critical Care Medicine and Emergency Medicine, Presbyterian-University Hospital, Pittsburgh, PA 15213.
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D002985:Clinical Protocols / Q000592:standards; D003937:Diagnosis, Differential; D004635:Emergency Medicine / Q000379:methods*; D006801:Humans; D015994:Incidence; D010349:Patient Compliance; D010612:Pharyngitis / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology; D013297:Streptococcus pyogenes
D000900:Anti-Bacterial Agents