Streptococcal pharyngitis
Background
-most common in children aged 4-7 years
Diagnosis
CENTOR CRITERIA
1) History of fever
2) Absence of cough
3) LAD
4) Tonsillar exudate
DDx
-viral pharyngitis
-PTA
-retropharyngeal abscess
-GC pharyngitis
Treatment
CDC Guidelines for adults >15yrs old
POINTS TREATMENT
4 Rx presumptive
3 Rx Presumptive
2 Rapid Strep Test
1 Do not test/treat
0 Do not test/treat
Treatment = PCN (erythro if allergic)
3 criteria = 40% PPV
4 criteria = 50% PPV
- No need for cultures after neg rapid test
See Also
See Peritonsilar Abscess
Source
3/19/06 DONALDSON (Adapted from Rosen)