Empirical validation of Polish guidelines for the management of acute streptococcal pharyngitis in children

Mazur, Elżbieta; Bochyńska, Ewa; Juda, Marek; Kozioł-Montewka, Maria

doi:10.1016/j.ijporl.2013.10.064

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…The positive predictive value when using a Modified Centor Score of 4 was reported as 48% by Mazur et al (21). In our study, a Modified Centor Score of 4 had a positive predictive value of 46.4%.…”

Section: Comparison With Existing Literaturesupporting

confidence: 52%

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Sore throat in primary care project: a clinical score to diagnose viral sore throat

Mistik

Gökahmetoğlu²,

Balcı

et al. 2015

Family Practice

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Section: Comparison With Existing Literaturesupporting

confidence: 52%

“…Our score had a positive predictive value of 62.5%, which seems to be better than that of the Modified Centor Score. The importance of a negative likelihood ratio has been stated as an important factor for use as a clinical criterion (6,21). A negative likelihood ratio of under 0.2 is considered useful.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Sore throat in primary care project: a clinical score to diagnose viral sore throat

Mistik

Gökahmetoğlu²,

Balcı

et al. 2015

Family Practice

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“…The sensitivity and specificity of this test in the study being discussed here exceeded the values provided by stewart et al in the meta-analysis relevant to 1216 adults with pharyngitis [10]. it is worth adding that a Polish study, which provides similar observations on the adequacy of radT in the case of children, has been published recently [11]. what is significant is that the application of radT in making therapeutic decisions not only makes it possible to use antibiotics justifiably (epidemiological aspect, limiting side effects), but is also cost-effective.…”

Section: Discussionmentioning

confidence: 49%

Moderate and severe pharyngitis in young adult inhabitants of Poznan, western Poland

Bura¹,

Michalak²,

Chojnicki³

et al. 2017

fmpcr

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Background. acute pharyngitis is a frequent clinical problem. Objectives. To assess: the frequency of streptococcal etiology (β-hs) in moderate to severe pharyngitis among young adult patients, the accuracy of the centor score (cs) in predicting the likelihood of the β-hs etiology and the usefulness of the rapid antigen detection test (radT) in the appropriate selection of patients that ought to be treated with antibiotics. Material and methods. 202 individuals (101 patients and a sex-and age-matched control group) aged 18-44 participated in the study. Two throat swabs were performed: the first one to carry out radT for group a streptococci (gas), and the second one to grow a conventional culture. data on the antibiotic therapy were recorded as well. Results. β-hs were responsible for one-third of the studied cases of pharyngitis (gas -22.8%, 23/101; high non-gas colony count -9.9%, 10/101). The frequency of the isolation of β-hs depending upon the cs was as follows: cs2 -13.2% (5/36), cs3 -40.5% (15/36), cs4 -61.5% (16/36). radT's effectiveness in identifying gas was significantly higher than that of cs alone (p < 0.001). antibiotics were prescribed in 59 cases, including 45% of radT-negative patients (35/77). The primary choice was penicillin (37.3%, 22/59). Conclusions. in young adult pharyngitis patients with cs2-4, β-hs are responsible for a minority of cases. among these bacteria, almost one third are non-gas. centor criteria, as the only diagnostic tool in predicting the streptococcal etiology of the disease, are of moderate usefulness. The use of radT significantly increases the diagnostic accuracy of gas-related pharyngitis. Key words: streptococci, pharyngitis, gas, radT, non-gas, centor score.

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Rapid antigen detection test for group A streptococcus in children with pharyngitis

Cohen

Bertille

Cohen

et al. 2016

Cochrane Database of Systematic Reviews

107

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Empirical validation of Polish guidelines for the management of acute streptococcal pharyngitis in children

Cited by 4 publications

References 45 publications

Sore throat in primary care project: a clinical score to diagnose viral sore throat

Sore throat in primary care project: a clinical score to diagnose viral sore throat

Moderate and severe pharyngitis in young adult inhabitants of Poznan, western Poland

Rapid antigen detection test for group A streptococcus in children with pharyngitis

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