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COMMENTS & OPINIONS
Treatment of Adults With Acute Pharyngitis in Primary Care Practice—Reply
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In reply
Bisno and colleagues highlight the rationale for our study,1 though we believe they draw attention away from the major problem in the treatment of adults with pharyngitis by focusing on patients meeting 4 Centor criteria. In our study, these patients made up only 2% of the sample and accounted for only 4% of antibiotic prescribing. Bisno and colleagues have written that "adults who meet none or only 1 of the 4 Centor criteria should not be tested or treated because of the very low probability of streptococcal infection, "2(p127) a statement that agrees with the ACP guideline. Management of these patients is the major problem, having accounted for 57% of testing and 44% of antibiotic prescribing.
Westerman raises several seemingly controversial issues regarding the evaluation of adults with pharyngitis. Group C and G streptococci can cause pharyngitis that mimics GAS pharyngitis. However, group C and G streptococcal pharyngitis . . . [Full Text of this Article]
AUTHOR INFORMATION
Jeffrey A. Linder, MD, MPH;
David W. Bates, MD, MSc
RELATED ARTICLE
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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