Recommendations for Management of Acute Pharyngitis in Adults

Abstract

Acute pharyngitis in adults is one of the most common infectious diseases seen in general practitioners' consultations. Viral aetiology is the most common. Among bacterial causes, the main agent is Streptococcus pyogenes or group A ␤-haemolytic streptococcus (GABHS), which causes 5%---30% of the episodes. In the diagnostic process, clinical assessment scales can help clinicians to better predict suspected bacterial aetiology by selecting patients who should undergo a rapid antigen detection test. If these techniques are not performed, an overdiagnosis of streptococcal pharyngitis often occurs, resulting in unnecessary prescriptions of antibiotics, most of which are broad spectrum. Consequently, management algorithms that include the use of predictive clinical rules and rapid tests have been set up. The aim of the treatment is speeding up symptom resolution, reducing the contagious time span and preventing local suppurative ଝ Please cite this article as: Cots JM, Alós JI, Bárcena M, Boleda X, Cañada JL, Gómez N, et al. Recomendaciones para el manejo de la faringoamigdalitis aguda del adulto. Acta Otorrinolaringol Esp. 2015;66:159---170.

A New Generation of Throat Cleaning and Healing Filmogen Solution for the Treatment of Productive (Wet) Cough

“…Viral growth damages URT and LRT mucosa, which leads to subsequent growth of opportunistic bacteria such as Streptococcus, generation of cellular debris and pus, irritation of the airways and inflammation of airway mucosa. Inflammation of the respiratory tract mucosa, from infectious or non-infectious causes, results in hyperreactivity of the cough receptors, making them more sensitive to the cough-producing effect of commonly occurring mild irritants such as cold air, respiratory pollutants, deep or fast respiration, and excessive use of the larynx [11,19]. Inflammation further stimulates mucus secretion and leads to the development of wet cough.…”

“…An ideal treatment for wet cough should not only liquify and remove the mucus but should also remove contaminants from the URT mucosa, should act as an antiseptic, and be non-toxic and cell friendly to let the mucosa cells regenerate, repair the damage and resume their normal defense functions [11].…”

A randomized, double-blind, controlled study to evaluate clinical efficacy and safety of novel filmogen osmotic treatment for pharyngitis

“…Throat infection or pharyngitis is among the most common diseases affecting populations of all ages worldwide [20][21][22]. It is usually initiated by a viral infection [23], and as the virus attacks and invades its host, it damages the upper respiratory tract mucosa cells, opening the door to the proliferation of opportunistic bacteria, such as Streptococcus [24].…”

Actualización del tratamiento de la faringoamigdalitis recurrente del adulto. Revisión

“…La edad del paciente es un elemento importante, aunque la etiología viral es la más frecuente en todos los grupos de edad. El mecanismo de transmisión suele ser la vía respiratoria a través de las pequeñas gotas de saliva que se expelen al toser, estornudar o simplemente hablar desde una persona infectada a un huésped susceptible [6]. Por el contrario, la transmisión por fómites no parece desempeñar un papel importante en la transmisión de estos microorganismos causantes de la FAA.…”

“…DISCUSIÓN La FAA es uno de los principales motivos de consulta en Atención Primaria y en los servicios de urgencias. Es también una de las razones más frecuentes por las que se prescribe un antibiótico en nuestro país, con una tasa aproximada de prescripción del 80% [6]. Los objetivos que se pretenden con el tratamiento son acelerar la resolución de los sín-tomas, reducir el tiempo de contagio y prevenir las complicaciones.…”