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[Sore throat in general practice. Minimizing diagnosis--preventing superfluous use of antibiotics].
MMW Fortschr Med. 1999 Nov 04; 141(44):28-31.MF

Abstract

Sore throat usually is caused by viral pharyngitis, in about 15 to 30% by group A beta-haemolytic streptococci. Based on current concepts a guideline for the management in general practice is developed. If the typical symptoms of streptococcal pharyngo-tonsillitis are present--serious sore throat, fever more than 38.5 degrees C, purulent tonsillar exsudate, painful cervical lymphadenopathy, lack of cough or rhinorrhea--without any other diagnostic procedure penicillin is given for ten days. Only in cases of doubt throat swabs are taken for rapid diagnostic test and culture. The implementation of the guideline permits differentiation between viral pharyngitis and streptococcal tonsillitis by simple questions and physical examination and prevention of unnecessary diagnostics and antibiotic overuse.

Authors+Show Affiliations

Barwitz HJ
Medizinische Poliklinik, Klinikum Innenstadt der LMU München. hbarwitz@t-online.de

MeSH

Anti-Bacterial AgentsDiagnosis, DifferentialHumansPharyngitisStreptococcal InfectionsStreptococcus pyogenesTreatment OutcomeVirus Diseases

Pub Type(s)

English Abstract
Journal Article
Review

Language

ger

PubMed ID

10912140

Citation

Barwitz, H J.. "[Sore Throat in General Practice. Minimizing Diagnosis--preventing Superfluous Use of Antibiotics]." MMW Fortschritte Der Medizin, vol. 141, no. 44, 1999, pp. 28-31.
Barwitz HJ. [Sore throat in general practice. Minimizing diagnosis--preventing superfluous use of antibiotics]. MMW Fortschr Med. 1999;141(44):28-31.
Barwitz, H. J. (1999). [Sore throat in general practice. Minimizing diagnosis--preventing superfluous use of antibiotics]. MMW Fortschritte Der Medizin, 141(44), 28-31.
Barwitz HJ. [Sore Throat in General Practice. Minimizing Diagnosis--preventing Superfluous Use of Antibiotics]. MMW Fortschr Med. 1999 Nov 4;141(44):28-31. PubMed PMID: 10912140.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Sore throat in general practice. Minimizing diagnosis--preventing superfluous use of antibiotics]. A1 - Barwitz,H J, PY - 2000/7/27/pubmed PY - 2000/9/9/medline PY - 2000/7/27/entrez SP - 28 EP - 31 JF - MMW Fortschritte der Medizin JO - MMW Fortschr Med VL - 141 IS - 44 N2 - Sore throat usually is caused by viral pharyngitis, in about 15 to 30% by group A beta-haemolytic streptococci. Based on current concepts a guideline for the management in general practice is developed. If the typical symptoms of streptococcal pharyngo-tonsillitis are present--serious sore throat, fever more than 38.5 degrees C, purulent tonsillar exsudate, painful cervical lymphadenopathy, lack of cough or rhinorrhea--without any other diagnostic procedure penicillin is given for ten days. Only in cases of doubt throat swabs are taken for rapid diagnostic test and culture. The implementation of the guideline permits differentiation between viral pharyngitis and streptococcal tonsillitis by simple questions and physical examination and prevention of unnecessary diagnostics and antibiotic overuse. SN - 1438-3276 UR - https://www.unboundmedicine.com/medline/citation/10912140/[Sore_throat_in_general_practice__Minimizing_diagnosis__preventing_superfluous_use_of_antibiotics]_ L2 - https://medlineplus.gov/antibiotics.html DB - PRIME DP - Unbound Medicine ER -