Efficacy of short-course therapy with cephalosporins for treatment of group A beta-hemolytic streptococcus (GABHS) pharyngitis is still controversial. Subjects were 226 children with a history of at least one episode of GABHS pharyngitis. Recurrence within the follow-up period (3 weeks after initiation of therapy) occurred in 7 of the 77 children in the 5-day treatment group and in 1 of the 149...

Overprescribing and Inappropriate Antibiotic Selection for ChildrenWith Pharyngitis in the United States, 1997-2010 Pharyngitis is a commonreason forpediatrichealthcarevisits.1 While viral infections account for themajority of pharyngitis episodes, groupAStreptococcus (GAS) is implicated inapproximately 37%of episodes among children.1 Antimicrobial treatment ofGASpharyngitis can shorten illness...

OBJECTIVES This study was designed to assess the accuracy of gastrointestinal symptoms, including abdominal pain, nausea, and vomiting, in the diagnosis of Group A streptococcal (GAS) pharyngitis in children and to determine differences in diagnostic accuracy in boys versus girls. METHODS This retrospective cross-sectional study included 5,755 consecutive patients aged <15 years with fever in...

Pharyngitis is the common disorder more in children than adults. Pharyngitis is common in the developing countries. In the United States pharyngitis is diagnosed in 11 million patients in emergency department and ambulatory setting annually. Viruses are frequently cause of viral pharyngitis, with adenovirus, rhinovirus, enterovirus, influenza A and B parainfluenza viruses. Streptococcus pyogene...

The group A Streptococcus is the most common bacterial cause of pharyngitis. Although most cases of streptococcal pharyngitis are managed by primary care providers, the otolaryngologist is often consulted to assist in the management of patients with persistent sore throat, chronic streptococcal carriage, recurrent streptococcal pharyngitis, or complications of streptococcal infection. This arti...

BACKGROUND Rheumatic fever has become uncommon in the United States while rapid diagnostic test technology for streptococcal antigens has improved. However, little is known about the effectiveness or cost-effectiveness of various strategies for managing pharyngitis caused by group A beta-hemolytic streptococcus (GAS) in U.S. adults. OBJECTIVE To examine the cost-effectiveness of several diagn...