Appropriate Use of Antibiotics: Pharyngitis
Authors: Alan L. Bisno, Edward L. Kaplan
Journal: Annals of Internal Medicine (2002)

Letters19 March 2002Appropriate Use of Antibiotics: PharyngitisAlan L. Bisno, MD and Edward L. Kaplan, MDAlan L. Bisno, MDUniversity of MiamiMiami Veterans Affairs Medical CenterUniversity of MinnesotaMinneapolis, MN 55455Search for more papers by this author and Edward L. Kaplan, MDUniversity of MiamiMiami Veterans Affairs Medical CenterUniversity of MinnesotaMinneapolis, MN 55455Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-136-6-200203190-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In March 2001, Snow and colleagues (1) and Cooper and associates (2) proposed a practice guideline for management of acute pharyngitis in adults. This guideline is a major departure from the current recommendations of expert panels of the Infectious Diseases Society of America (3), the American Heart Association (4), and the American Academy of Pediatrics (5) regarding diagnosis of pharyngitis caused by group A streptococci. We believe that certain aspects of the proposed practice guideline, such as eschewing the throat culture as a standard of diagnosis for acute streptococcal pharyngitis in adults, are debatable. Even more troubling ...References1. Snow V, Mottur-Pilson C, Cooper RJ, Hoffman JR. Principles of appropriate antibiotic use for acute pharyngitis in adults. Ann Intern Med. 2001;134:506-8. [PMID: 11255529] LinkGoogle Scholar2. Cooper RJ, Hoffman JR, Bartlett JG, Besser RE, Gonzales R, Hickner JM, et al . Principles of appropriate antibiotic use for acute pharyngitis in adults: background. Ann Intern Med. 2001;134:509-17. [PMID: 11255530] LinkGoogle Scholar3. Bisno AL, Gerber MA, Gwaltney JM, Kaplan EL, Schwartz RH. Diagnosis and management of group A streptococcal pharyngitis: a practice guideline. Infectious Diseases Society of America. Clin Infect Dis. 1997;25:574-83. [PMID: 9314443] CrossrefMedlineGoogle Scholar4. Dajani A, Taubert K, Ferrieri P, Peter G, Shulman S. Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever: a statement for health professionals. Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, the American Heart Association. Pediatrics. 1995;96:758-64. [PMID: 7567345] MedlineGoogle Scholar5. Committee on Infectious Diseases, American Academy of Pediatrics. Group A streptococcal infection. In: 2000 Red Book. 25th ed. Montvale, NJ: Medical Economics; 2001:526-36. Google Scholar6. Centor RM, Witherspoon JM, Dalton HP, Brody CE, Link K. The diagnosis of strep throat in adults in the emergency room. Med Decis Making. 1981;1:239-46. [PMID: 6763125] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of MiamiMiami Veterans Affairs Medical CenterUniversity of MinnesotaMinneapolis, MN 55455 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPrinciples of Appropriate Antibiotic Use for Acute Pharyngitis in Adults Vincenza Snow , Christel Mottur-Pilson , Richelle J. Cooper , Jerome R. Hoffman , and Principles of Appropriate Antibiotic Use for Acute Pharyngitis in Adults: Background Richelle J. Cooper , Jerome R. Hoffman , John G. Bartlett , Richard E. Besser , Ralph Gonzales , John M. Hickner , and Merle A. Sande Metrics Cited ByAntimicrobial susceptibility pattern of beta-haemolytic group A, C and G streptococci isolated from North IndiaHaemophilus influenzae and Haemophilus haemolyticus in tonsillar cultures of adults with acute pharyngotonsillitisA scoring system for management of acute pharyngo-tonsillitis in adultsAcute Pharyngitis 19 March 2002Volume 136, Issue 6Page: 489-490KeywordsAlgorithmsAntibioticsAntigensClinical microbiologyDecision makingGroup A streptococciInfectious diseasesPharyngitisPharynxStreptococcal pharyngitis ePublished: 19 March 2002 Issue Published: 19 March 2002 CopyrightCopyright © 2002 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...