Streptococcal Pharyngitis
Authors: RICHARD K. TOMPKINS
Journal: Annals of Internal Medicine (1979)

Letters and Corrections1 July 1979Streptococcal PharyngitisRICHARD K. TOMPKINS, M.D.RICHARD K. TOMPKINS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-91-1-133 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Dr. Alan Bisno's editorial in the March 1979 issue (1) contains a gross inaccuracy that I feel must be corrected. He states that my colleagues and I "have advocated treatment of all patients with sore throats with antibiotics as the most cost-effective way to prevent acute rheumatic fever." In our article on the cost-effectiveness of pharyngitis management (2) we specifically avoided making such a recommendation and, instead, suggested that clinical attributes (that is, history and physical findings) could be used to choose cost-effective treatment plans for individual patients.Our approach to streptococcal pharyngitis management is quite similar...References1. BISNO A. The diagnosis of streptococcal pharyngitis. Ann Intern Med. 1979; 90:426-8. Editorial. LinkGoogle Scholar2. TOMPKINSBURNESCABLE RDW. An analysis of the cost-effectiveness of pharyngitis management and acute rheumatic fever prevention. Ann Intern Med. 1977; 86:481-92. LinkGoogle Scholar3. CRAWFORDBRANCATOHOLMES GFK. Streptococcal pharyngitis: diagnosis by gram stain. Ann Intern Med. 1979; 90:293-7. LinkGoogle Scholar4. TOMPKINS R. Managing pharyngitis without the throat culture. J Fam Pract. 1979; 8:629-31. Google Scholar1. TOMPKINSBURNESCABLE RDW. The cost-effectiveness of acute rheumatic fever prevention. Clin Res. 1975;23:441. Abstract. Google Scholar2. TOMPKINSBURNESCABLE RDW. An analysis of the cost-effectiveness of pharyngitis management and acute rheumatic fever prevention. Ann Intern Med. 1977;86:481-92. LinkGoogle Scholar3. SIEGELJOHNSONSTOLLERMAN AEG. Controlled studies of streptococcal pharyngitis in a pediatric population: I. Factors related to the attack rate of rheumatic fever. N Engl J Med. 1961;265:559-66. CrossrefGoogle Scholar4. KAPLANTOPDUDDINGWANNAMAKER LFBL. Diagnosis of streptococcal pharyngitis: differentiation of active infection from the carrier state in the asymptomatic child. J Infect Dis. 1971;123:490-501. CrossrefMedlineGoogle Scholar5. BISNOPEARCEWALLMOODYSTOLLERMAN AIHMG. Contrasting epidemiology of acute rheumatic fever and acute glomerulonephritis: Nature of the antecedent streptococcal infection. N Engl J Med. 1970;283:561-5. CrossrefMedlineGoogle Scholar6. LEVYLOVEJOY JG. Management of pharyngitis by pediatric nurse practitioners. Clin Pediatr. 1976;15:415-8. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Bureau of Medical Services Division of Hospitals and Clinics Public Health Service Department of Health, Education, and Welfare Seattle, WA 98114 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 July 1979Volume 91, Issue 1Page: 133-134KeywordsAntibioticsPatient advocacyPharyngitisRheumatic feverStreptococcal pharyngitis Issue Published: 1 July 1979 PDF DownloadLoading ...