Evaluation and management of adult pharyngitis.
The main goal in the evaluation of adults with sore throat is identifying those likely to have group A b-hemolytic streptococci (GABHS), or "streptococcal pharyngitis." Adults should be assessed for 1) fever, 2) absence of cough, 3) tender anterior cervical lymphadenopathy, and 4) tonsillar swelling or exudate. A strategy that results in about 40% of adults getting a streptococcal test and fewer than 20% getting antibiotics is detailed.
Linder
Jeffrey A
JA
Division of General Medicine and Primary Care, Brigham and Women's Hospital, 1620 Tremont Street, BC-3-2X, Boston, MA 02120, USA. jlinder@partners.org
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D006801:Humans; D010612:Pharyngitis / Q000188:drug therapy* / Q000382:microbiology*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy
D000900:Anti-Bacterial Agents