Diagnosis and Treatment of Acute Streptococcal Pharyngitis in Children

Куличенко, Т. В.

doi:10.15690/pf.v12i1.1256

Cited by 2 publications

(3 citation statements)

References 47 publications

(80 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Table 1 gives an overview of these guidelines by region and country; Figure 1 shows their origin on a world map. The highest number of guidelines were published in Europe; in addition to a European guideline, 23 a selection of the most recent and relevant published guidelines from Central (Germany), 24 Eastern (Russian Federation), 25 Northern (Netherlands 26 and Sweden 27 ), Southern (Italy 28 and Spain 29 ) and Western countries (France 30 and United Kingdom 31 ) were included. Of a large number, the most recent and relevant published guidelines were selected from North America, including Canada, 32 Mexico 33,34 and the USA 35‐37 .…”

Section: Resultsmentioning

confidence: 99%

“…Although 33 of the 36 guidelines provide recommendations regarding antibiotics, only 20 discuss other sore throat treatments. Of these 20 guidelines, 11 recommend paracetamol and non‐steroidal anti‐inflammatory drugs (NSAIDs) for the treatment of fever and pain, four recommend only NSAIDs, 32,46,29,25 one recommends only paracetamol 52 and one advises against the standard use of NSAIDs, because of their potential systemic side effects 26 . Furthermore, four guidelines recommend topical treatments such as lozenges, gargles or sprays for analgesic treatment 42,49,34,31 .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Worldwide comparison of treatment guidelines for sore throat

Coutinho

Duerden

Sessa³

et al. 2021

Int. J. Clin. Pract.

View full text Add to dashboard Cite

Introduction Sore throat (acute pharyngitis) is globally one of the most frequent reasons for seeking healthcare. Its etiology is mostly viral. In 15%‐30% of cases, group A streptococci (GAS) are detected, which may cause acute rheumatic fever. We have done a worldwide systematic review to compare diagnostic and therapeutic guidelines across countries and regions. Previous reviews of sore throat guidelines were limited to specific regions and/or language; this is the first global review. Materials and Methods Searches were performed in MEDLINE, EMBASE and COCHRANE (key words: sore throat, pharyngitis, tonsillitis or pharyngotonsillitis, and management, guidance, guideline or recommendation) and on the web sites of major health authorities and associated institutions from Africa, Asia, Europe, Middle East, North America, Oceania and South America. Results Thirty‐six guidelines were identified from 26 countries. Most common are recommendations relying on the symptom‐ and age‐based Centor or McIsaac scores. However, antibiotic treatment may be based on other symptomatic criteria; in the most extreme approach just sore throat in children. The recommendation of GAS‐specific diagnostic tests is mainly limited to countries where such tests are readily available, although some countries choose not to use them. Penicillins are consistently recommended as first‐line antibiotics. By contrast, guidance for symptomatic treatment is variable and mostly sparse or missing. African countries without sore throat guidelines and Asian countries bypassing them are afflicted by rising antibiotic resistance. Conclusion The availability of sore throat guidelines varies considerably by region and country. Moreover, important divergence is found among the guidelines regarding diagnostic and treatment criteria. This may be explained by the historical background or adoption of external guidelines, rather than local incidences of GAS infections or acute rheumatic fever. Absence of recommendations on symptomatic treatment in many guidelines is concerning, and raises issues about antimicrobial stewardship, as this should be the mainstay of sore throat management, rather than antibiotics.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Worldwide comparison of treatment guidelines for sore throat

Coutinho

Duerden

Sessa³

et al. 2021

Int. J. Clin. Pract.

View full text Add to dashboard Cite

show abstract

“…Table 1 gives an overview of these guidelines by region and country; Figure 1 shows their origin on a world map. The highest number of guidelines were published in Europe; in addition to a European guideline, 23 a selection of the most recent and relevant published guidelines from Central (Germany), 24 Eastern (Russian Federation), 25 Northern (Netherlands 26 and Sweden 27 ), Southern (Italy 28 and Spain 29 ) and Western countries (France 30 and United Kingdom 31 ) were included. Out of a large number, the most recent and relevant published guidelines were selected from North America, including Canada, 32 Mexico 33, 34 and the USA.…”

Section: Geographic Origin and Selection Of The Guidelinesmentioning

confidence: 99%

Worldwide Comparison of Treatment Guidelines for Sore Throat

Coutinho

Duerden

Sessa

et al. 2020

Preprint

View full text Add to dashboard Cite

Sore throat (acute pharyngitis) is globally one of the most frequent reasons for seeking healthcare. Its etiology is mostly viral. In 15-30% of cases, group A streptococci (GAS) are detected, which may cause acute rheumatic fever. We have done a worldwide systematic review to compare diagnostic and therapeutic guidelines across countries and regions. Previous reviews of sore throat guidelines were limited to specific regions and/or language; this is the first global review. Searches were performed in MEDLINE, EMBASE and COCHRANE (key words: sore throat, pharyngitis, tonsillitis or pharyngotonsillitis, and management, guidance, guideline or recommendation) and on the web sites of major health authorities and associated institutions from Africa, Asia, Europe, Middle East, North America, Oceania and South America. Thirty-six guidelines were identified from 26 countries. Most common are recommendations relying on the symptom-and age-based Centor or McIsaac scores. However, antibiotic treatment may be based on other symptomatic criteria; in the most extreme approach just sore throat in children. The recommendation of GAS-specific diagnostic tests is mainly limited to countries where such tests are readily available, although some countries choose not to use them. Penicillins are consistently recommended as first-line antibiotics. By contrast, guidance for symptomatic treatment is variable and mostly sparse or missing. African countries without sore throat guidelines and Asian countries bypassing them are afflicted by rising antibiotic resistance. The availability of sore throat guidelines varies considerably by region and country. Moreover, important divergence is found among the guidelines regarding diagnostic and treatment criteria. This may be explained by the historical background or adoption of external guidelines, rather than the local incidences of GAS infections or acute rheumatic fever. Absence of recommendations on symptomatic treatment in many guidelines is concerning, and raises issues about antimicrobial stewardship, as this is the mainstay of sore throat management, rather than antibiotics. REVIEW CRITERIASearches for guidelines were performed in the COCHRANE Library (Systematic Reviews), EMBASE (entire database) and PUBMED (all databases, including MEDLINE), using the search terms, criteria and cut-offs defined in the manuscript. Further guideline searches were performed on the internet, with the Google search engine using the specified English search terms, and their translations in Arabic, Chinese, French, German, Portuguese, Russian and Spanish, as well as on the websites of the major health authorities and associated institutions of all regions worldwide.Only guidelines that provided recommendations for the diagnosis and the treatment of sore throat (acute pharyngitis) in general were considered and included. For Europe and the USA, where large numbers of Posted on Authorea

show abstract

Diagnosis and Treatment of Acute Streptococcal Pharyngitis in Children

Cited by 2 publications

References 47 publications

Worldwide comparison of treatment guidelines for sore throat

Worldwide comparison of treatment guidelines for sore throat

Worldwide Comparison of Treatment Guidelines for Sore Throat

Contact Info

Product

Resources

About