Diagnosis and treatment of pharyngitis in children.
Acute pharyngitis is one of the most common illnesses for which children visit primary care physicians. Most cases of acute pharyngitis in children are caused by viruses and are benign and self-limited. Group A beta-hemolytic streptococcus is the most important of the bacterial causes of acute pharyngitis. Strategies for diagnosis and treatment of acute pharyngitis are directed at distinguishing children with viral pharyngitis, who would not benefit from antimicrobial therapy, from children with group A beta-hemolytic streptococcal pharyngitis, for whom antimicrobial therapy would be beneficial. Making this distinction is crucial in attempting to minimize the unnecessary use of antimicrobial agents in children.
Gerber
Michael A
MA
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA. michael.gerber@cchmc.org
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000009:adverse effects / Q000627:therapeutic use; D001431:Bacteriological Techniques; D002353:Carrier State; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D007841:Latex Fixation Tests; D018579:Patient Selection; D010372:Pediatrics / Q000379:methods / Q000592:standards; D010612:Pharyngitis / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D010808:Physical Examination; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000379:methods / Q000592:standards; D012008:Recurrence; D012680:Sensitivity and Specificity; D013290:Streptococcal Infections / Q000175:diagnosis / Q000628:therapy; D013297:Streptococcus pyogenes; D017211:Treatment Failure; D014481:United States / Q000453:epidemiology; D019564:Unnecessary Procedures
D000900:Anti-Bacterial Agents