Cost-Effectiveness of Pharyngitis Management and Prevention of Rheumatic Fever
Authors: ROBERT H. PANTELL
Journal: Annals of Internal Medicine (1977)

Editorials1 April 1977Cost-Effectiveness of Pharyngitis Management and Prevention of Rheumatic FeverROBERT H. PANTELL, M.D.ROBERT H. PANTELL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-86-4-497 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSore throat is the fourth most common symptom seen in medical practice (1). New management recommendations, such as those suggested by Tompkins, Burnes, and Cable in this issue (p. 481), as the result of a cost-effectiveness analysis, can have widespread impact and demand careful evaluation. This kind of analytic approach is being used increasingly to make both medical and policy decisions, but one must recognize the number of inputs subject to the frailties of existing data and value judgments.Few physicians would disagree with treating all patients with pharyngitis during a rheumatic fever epidemic. Criteria for recognizing and managing epidemics...References1. : National Ambulatory Medical Care Survey: 1973 Summary. United States, May 1973-April 1974. Vital and Health Statistic series 13, no. 21, DHEW publication no. (HRA) 76-1772, Rockville, Maryland, United States Department of Health Education and Welfare, National Center for Health Statistics, October 1975 Google Scholar2. DENNYWANNAMAKERBRINK FLW: Prevention of rheumatic fever. JAMA 143:151-153, 1950 CrossrefMedlineGoogle Scholar3. FRANKSTOLLERMANMILLER PGL: Protection of a military population from rheumatic fever. Routine administration of benzathine penicillin G to healthy individuals. 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IDSØEGUTHEWILLCOX OTR: Nature and extent of penicillin side-reactions with particular reference to fatalities from anaphylactic shock. Bull WHO 38:159-188, 1968 MedlineGoogle Scholar9. : Research and Statistics Note. Note 12, 20 May 1976 DHEW publication no. (SSA) 76-11701, Rockville, Maryland, United States Department of Health, Education, and Welfare, National Center for Health Statistics, October 1975 Google Scholar10. CURRAN W: Glaucoma and streptococcal pharyngitis: diagnostic practices and malpractice liability. N Engl J Med 291:508-509, 1974 CrossrefMedlineGoogle Scholar11. ROGHMANNHAGGERTY KR: Daily stress, illness, and use of health services in young families. Pediatr Res 7:520-526, 1973 CrossrefMedlineGoogle Scholar12. WANNAMAKER L: Perplexity and precision in the diagnosis of streptococcal pharyngitis. Am J Dis Child 124:352-358, 1972 MedlineGoogle Scholar13. KAPLANTOPDUDDING EFB: Diagnosis of streptococcal pharyngitis: differentiation of active infection from the carrier state in the symptomatic child. J Infect Dis 123:490-501, 1971 CrossrefMedlineGoogle Scholar14. BELLSMITH SD: Quantitative throat-swab culture in the diagnosis of streptococcal pharyngitis in children. Lancet 2:61-63, 1976 CrossrefGoogle Scholar15. KAPLAN E: Unresolved problems in diagnosis and epidemiology of streptococcal infection, in Streptococci and Streptococcal Diseases; Recognition, Understanding, and Management, edited by WANNAMAKER LW, MATSEN JM. New York, Academic Press, 1972, pp. 557-570 Google Scholar16. : Statistical Reports, Communicable Diseases. Berkeley, California, Bureau of Communicable Disease Control, 1964-1974, State of California Department of Public Health Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: ROBERT H. PANTELL, M.D.Affiliations: Robert Wood Johnson Clinical Scholar Departments of Pediatrics and Medicine Stanford University School of Medicine Stanford, California PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byGROUP A, GROUP C, AND GROUP G BETA-HEMOLYTIC STREPTOCOCCAL INFECTIONSManaging sore throat: a literature review: II. Do antibiotics confer benefit?Managing sore throat: a literature review I. Making the diagnosisThe Influence of Rapid Diagnosis of Streptococcal Infection on Pharyngitis and Rheumatic FeverNon-Sexually transmitted infectious diseases of the oral, nasal, and vaginal mucosaeCost-effective control of rheumatic fever in the communityEarly treatment of streptococcal pharyngitisTreating Sore Throats in the Emergency RoomExperimental modelsThe Chemoprophylaxis of Infection: A Brief Review of Recent StudiesPharyngeal gram stains in the treatment of sore throatsAntibiotics and Streptococcal PharyngitisF.T. DARVILL, M.D., F.A.C.P., TIMM ZIMMERMANN, M.D. 1 April 1977Volume 86, Issue 4Page: 497-499KeywordsBurnsFrailtyPharyngitisRheumatic fever ePublished: 1 December 2008 Issue Published: 1 April 1977 PDF downloadLoading ...