Immediate access to this article To see the full article, log in or purchase access. Francis Hospital, Memphis. She also completed a faculty development fellowship at the Waco Tex. Faculty Development Center Address correspondence to Beth A. Reprints are not available from the author.
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Design Retrospective cohort study. Setting The emergency department of a large tertiary university hospital in Brussels, with over 20 yearly visits for children below age Participants All medical records from to of children between ages 2 and 16, who were diagnosed with pharyngitis, tonsillitis or sore throat and having a throat swab culture for GABHS.
Children with underlying chronic respiratory, cardiac, haematological or immunological diseases and children who had already received antibiotics AB prior to the PED consult were excluded. Only records with a full disease history were selected. Out of a total visits for sore throats, met our criteria. The children were divided into two age groups, 2—5 and 5—16 years.
Conclusions Our results confirm the ineffectiveness of Centor criteria as a predicting factor for finding GABHS in a throat swab culture in children. Keywords: Paediatrics, Infectious diseases, Otolaryngology Article summary Article focus To evaluate the correlation between Centor criteria and presence of GABHS in children with sore throat admitted to our emergency department, in order to evaluate the value of this prediction rule.
Key messages Results confirm the ineffectiveness of Centor criteria as a predicting factor for finding GABHS in a throat swab culture in children. Strengths and limitations of this study The strength of this study is the large number of children included. The major limitation is the fact that not all children received a throat swab, thus introducing a selection bias. Patients and methods This is a retrospective cohort study that was approved by the local ethics committee of UZ Brussel and took place at the emergency department at UZ Brussel, a large tertiary university hospital in Brussels, with over 60 yearly visits, of which one in three are children below age Children are seen at the paediatrics section, by paediatric residents and emergency medicine residents, under full supervision of a board-certified paediatrician.
We analysed all medical records of children aged between 2 and 16 years who were admitted to our PED between 1 January and 31 December All our records are digitalised and all diagnoses in our records are registered according to the International Statistical Classification of Diseases and Related Health Problems ICD-9 codes.
All files of children who received a throat swab for GABHS culture with the following ICD-9 codes infectious mononucleosis , nasopharyngitis , pharyngitis , tonsillitis and sore throat Children with underlying chronic respiratory, cardiac, haematological or immunological diseases and children who had already received AB prior to the PED consult were excluded. Only records with a full disease history were selected figure 1.
Diagnosis and Treatment of Streptococcal Pharyngitis
To save favorites, you must log in. Creating an account is free, easy, and takes about 60 seconds. Log in to create a list of your favorite calculators! New guidelines from the IDSA Infectious Disease Society of America no longer recommend empiric treatment for patients alone; they recommend testing patients that are at higher risk for strep pharyngitis, but not giving antibiotics until a rapid test is positive or a throat culture is positive. The modified criteria by McIsaac et al include an age component, along with tonsillar swelling, as part of the rule. GAS is incredibly rare in patients under 3 and less common in older adults, so this can help clinicians risk stratify patients.
Centor Score Calculator (Modified/McIsaac)
Sore throat (acute): antimicrobial prescribing