title: Accuracy and interobserver variation of three clinical decision rules for the diagnosis of streptococcal pharyngitis.
abstract: We evaluated the accuracy and interobserver variation of 3 clinical decision rules for streptoccocal pharyngitis diagnosis. Oropharyngeal swab culture was the reference. The Abu Reesh rule had the highest sensitivity and the World Health Organization rule showed the highest specificity. The interobserver variation of those rules indicates the need for better training of clinicians.
authors: Laboratory of Clinical Epidemiology of the Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil. dulceorofino@yahoo.com.br
authors: Dulce Helena Gonçalves
authors: DH
authors: Orofino
authors: Sônia Regina Lambert
authors: SR
authors: Passos
authors: Carlos Augusto Ferreira
authors: CA
authors: de Andrade
authors: Daniel
authors: D
authors: Nigri
authors: Lúcia
authors: L
authors: dos Santos Werneck
authors: Raquel Carvalhaes
authors: RC
authors: de Oliveira
authors: Yara Hahr Marques
authors: YH
authors: Hökerberg
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015510:Clinical Medicine / Q000379:methods*; D003430:Cross-Sectional Studies; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D008297:Male; D015588:Observer Variation; D009960:Oropharynx / Q000382:microbiology; D010612:Pharyngitis / Q000175:diagnosis*; D012680:Sensitivity and Specificity; D013290:Streptococcal Infections / Q000175:diagnosis*; D013297:Streptococcus pyogenes / Q000302:isolation & purification