Participatory Medicine: A Home Score for Streptococcal Pharyngitis
Authors: Jan Matthys, Marc De Meyere
Journal: Annals of Internal Medicine (2014)

Letters18 February 2014Participatory Medicine: A Home Score for Streptococcal PharyngitisJan Matthys, MD and Marc De Meyere, MDJan Matthys, MDFrom University of Ghent, University Hospital, Ghent, Belgium.Search for more papers by this author and Marc De Meyere, MDFrom University of Ghent, University Hospital, Ghent, Belgium.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-5004 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read Fine and colleagues’ article (1) and Centor's editorial (2) with great interest. According to Centor, international guidelines suggest 3 strategies, one of which is to neither test nor treat anyone; however, this strategy is not recommended. As Table 3 of our article (3) mentions, the guidelines propose that antibiotics be prescribed in very ill and high-risk patients, who make up approximately 5% of those who seek treatment for sore throat.On the other hand, in different countries, antibiotics are not prescribed to prevent suppurative or nonsuppurative complications or to secure symptomatic relief in patients with ...References1. Fine AM, Nizet V, Mandl KD. Participatory medicine: A home score for streptococcal pharyngitis enabled by real-time biosurveillance: a cohort study. Ann Intern Med. 2013;159:577-83. [PMID: 24189592] LinkGoogle Scholar2. Centor RM. When should patients seek care for sore throat? [Editorial]. Ann Intern Med. 2013;159:636-7. [PMID: 24189598] LinkGoogle Scholar3. Matthys J, De Meyere M, van Driel ML, De Sutter A. Differences among international pharyngitis guidelines: not just academic. Ann Fam Med. 2007;5:436-43. [PMID: 17893386] CrossrefMedlineGoogle Scholar4. Del Mar CB, Glasziou PP, Spinks AB. Antibiotics for sore throat. Cochrane Database Syst Rev. 2006;:CD000023. [PMID: 17054126] MedlineGoogle Scholar5. van Driel ML, De Sutter A, Deveugele M, Peersman W, Butler CC, De Meyere M, et al. Are sore throat patients who hope for antibiotics actually asking for pain relief? Ann Fam Med. 2006;4:494-9. [PMID: 17148626] CrossrefMedlineGoogle Scholar6. Matthys J, Elwyn G, Van Nuland M, Van Maele G, De Sutter A, De Meyere M, et al. Patients' ideas, concerns, and expectations (ICE) in general practice: impact on prescribing. Br J Gen Pract. 2009;59:29-36. [PMID: 19105913] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Jan Matthys, MD; Marc De Meyere, MDAffiliations: From University of Ghent, University Hospital, Ghent, Belgium.Disclosures: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L13-1170. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoParticipatory Medicine: A Home Score for Streptococcal Pharyngitis Enabled by Real-Time Biosurveillance Andrew M. Fine , Victor Nizet , and Kenneth D. Mandl Participatory Medicine: A Home Score for Streptococcal Pharyngitis Andrew M. Fine , Victor Nizet , and Kenneth D. Mandl Metrics 18 February 2014Volume 160, Issue 4 Page: 289 Keywords Antibiotic resistance Antibiotics Conflicts of interest Drugs Motivation Odds ratio Pharyngitis Primary care Streptococcal pharyngitis Treatment guidelines ePublished: 18 February 2014 Issue Published: 18 February 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...