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COMMENTS & OPINIONS
Treatment of Adults With Acute Pharyngitis in Primary Care Practice
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As members of the IDSA guideline committee on the management of GAS pharyngitis,1 we read with interest the article by Linder et al2 and editorial by Centor and Cohen3 regarding the management of adults with acute pharyngitis. As a point of clarification, we wish to point out that the article and editorial err in stating that the 4-point Centor criteria4 were explicitly recommended by the IDSA. We believe that clinical algorithms such as that of Centor et al4 can be most helpful in identifying patients whose risk of GAS pharyngitis is low enough to preclude the necessity of diagnostic testing. We do not, however, recommend their use in lieu of such testing in adult patients with sore throat, whose clinical findings are more highly suggestive of GAS infection. In this regard, we differ with the clinical practice guideline endorsed by the ACP.5 For example, Linder et al2 found that 60% . . . [Full Text of this Article]
AUTHOR INFORMATION
Alan L. Bisno, MD;
Michael A. Gerber, MD;
Edward L. Kaplan, MD
RELATED ARTICLES
Pharyngitis Management: Focusing on Where We Agree
Robert M. Centor and Stuart James Cohen
Arch Intern Med. 2006;166(13):1345-1346.
EXTRACT
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Evaluation and Treatment of Pharyngitis in Primary Care Practice: The Difference Between Guidelines Is Largely Academic
Jeffrey A. Linder, Joseph C. Chan, and David W. Bates
Arch Intern Med. 2006;166(13):1374-1379.
ABSTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Short Report: Can mouth swabs replace throat swabs?: Cross-sectional survey of the effectiveness of rapid streptococcal swabs of the buccal mucosa
Kelly
cfp 2007;53:1500-1501.
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