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Update on the management of acute pharyngitis in children

By Marta Regoli, Elena Chiappini, Francesca Bonsignori, Luisa Galli and Maurizio de Martino


Streptococcal pharyngitis is a very common pathology in paediatric age all over the world. Nevertheless there isn't a joint agreement on the management of this condition. Some authors recommend to perform a microbiological investigation in suspected bacterial cases in order to treat the confirmed cases with antibiotics so to prevent suppurative complications and acute rheumatic fever. Differently, other authors consider pharyngitis, even streptococcal one, a benign, self-limiting disease. Consequently they wouldn't routinely perform microbiological tests and, pointing to a judicious use of antibiotics, they would reserve antimicrobial treatment to well-selected cases. It has been calculated that the number of patients needed to treat to prevent one complication after upper respiratory tract infections (including sore throat), was over 4000

Topics: Review
Publisher: BioMed Central
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Provided by: PubMed Central

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  1. (2001). Acute pharyngitis.
  2. (2006). American Academy of Pediatrics, Committee on Infectious Diseases: Red Book:
  3. (2009). Diagnosis and treatment of streptococcal pharyngitis. Am Fam Physician
  4. (2007). Group A Streptococcus. Nelson, Textbook of pediatrics,
  5. (2010). JM: Prevalence of Streptococcal Pharyngitis and Streptococcal Carriage in children: a meta-analysis. Pediatrics
  6. (2010). Linde JM: Evaluation of rapid methods for detecting Streptococcus pyogenes: systematic review and meta-analysis. An Pediatr Barc
  7. (2008). Mayosi BM: Incidence of acute rheumatic fever in the world: a systematic review of population-based studies. Heart
  8. (2000). Newburger JW: Characteristics of children discharged from hospitals in the United States in
  9. (2005). NJ: Acute rheumatic fever. Lancet
  10. (2009). ST: Performance of a rapid antigen-detection test and throat culture in community pediatric offices: implications for management of pharyngitis. Pediatrics
  11. (2009). T: Impact of rapid streptococcal test on antibiotic use in a pediatric emergency department. Pediatr Emerg Care
  12. Taubert KA: Prevention of rheumatic fever and diagnosis and treatment of acute Streptococcal pharyngitis: a scientific statement from the
  13. (2004). The current evidence for the burden of group A streptococcal diseases. WHO/FCH/CAH/05ยท07 Geneva: World Health Organization;