Recommendations for management of acute pharyngitis in adults

Acta otorrinolaringológica española
Josep M CotsCarles Llor

Abstract

Acute pharyngitis in adults is one of the most common infectious diseases seen in general practitioners' consultations. Viral aetiology is the most common. Among bacterial causes, the main agent is Streptococcus pyogenes or group A β-haemolytic streptococcus (GABHS), which causes 5%-30% of the episodes. In the diagnostic process, clinical assessment scales can help clinicians to better predict suspected bacterial aetiology by selecting patients who should undergo a rapid antigen detection test. If these techniques are not performed, an overdiagnosis of streptococcal pharyngitis often occurs, resulting in unnecessary prescriptions of antibiotics, most of which are broad spectrum. Consequently, management algorithms that include the use of predictive clinical rules and rapid tests have been set up. The aim of the treatment is speeding up symptom resolution, reducing the contagious time span and preventing local suppurative and non-suppurative complications. Penicillin and amoxicillin are the antibiotics of choice for the treatment of pharyngitis. The association of amoxicillin and clavulanate is not indicated as the initial treatment of acute infection. Neither are macrolides indicated as first-line therapy; they should be reserv...Continue Reading

References

May 1, 1985·The Journal of Pediatrics·J H Brien, J W Bass
Jan 1, 1981·Medical Decision Making : an International Journal of the Society for Medical Decision Making·R M CentorK Link
Jan 9, 2001·JAMA : the Journal of the American Medical Association·M H EbellM Carey
Oct 16, 2004·BMJ : British Medical Journal·Azeem MajeedPaul Aylin
Aug 27, 2005·The Journal of Antimicrobial Chemotherapy·J TamayoUNKNOWN Spanish Group for the Study of Infection in the Primary Health Care Setting
Nov 22, 2005·Acta Oto-laryngologica·Miguel CaballeroManuel Bernal-Sprekelsen
Nov 19, 2010·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·H HidakaT Kobayashi
Feb 11, 2011·European Journal of Pediatrics·Carolina Giraldez-GarciaAntonio Sarria-Santamera
May 31, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Carl LlorJosep Maria Cots
Sep 17, 2011·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·R Piñeiro PérezM J Cilleruelo Ortega
Apr 27, 2012·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·UNKNOWN ESCMID Sore Throat Guideline GroupT Verheij
Sep 12, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Stanford T ShulmanUNKNOWN Infectious Diseases Society of America
Sep 21, 2012·Scandinavian Journal of Infectious Diseases·Robert M Centor
Apr 9, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Marc RussoAdrian Shephard
Nov 6, 2013·Annals of Internal Medicine·Robert M Centor
Nov 21, 2013·The Lancet Infectious Diseases·Ramanan LaxminarayanOtto Cars
Nov 28, 2013·BMJ : British Medical Journal·Paul LittleUNKNOWN DESCARTE investigators
Jan 21, 2014·The Lancet Infectious Diseases·Paul LittleUNKNOWN DESCARTE investigators
Mar 14, 2014·BMC Family Practice·Jean-François ChenotTim Friede
May 29, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Tanis C DingleFerric C Fang

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Citations

Mar 17, 2016·Semergen·L de la RosaS Gayoso Martin
Sep 25, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Faris F BrkicDavid T Liu

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