Κριτήρια Centor — Αντιβίωση σε φαρυγγίτιδα
Απόφαση αντιβιοτικής θεραπείας σε οξεία φαρυγγίτιδα/αμυγδαλίτιδα — κριτήρια Centor/McIsaac
Use only in patients with recent onset (≤ 3 days) acute pharyngitis.
Age [years]
Temperature > 38 °C
Cough
Tender anterior cervical adenopathy
Tonsillar swelling or exudate
Answer all questions to see the result
Επιπλέον πληροφορίες
Προειδοποίηση
Αυτό το εργαλείο προορίζεται μόνο για εκπαιδευτικούς σκοπούς, δεν αντιπροσωπεύει και δεν αντικαθιστά επαγγελματικές συμβουλές. Αυτό το εργαλείο δεν πρέπει να χρησιμοποιείται για την παροχή ιατρικών διαγνώσεων ή/και ιατρικών θεραπειών.
General description
Upper respiratory tract infections are one of the most common reasons for visiting a family physician and receiving an antibiotic. But only 10 % to 20 % of sore throat presentations in general practice actually culture positive for group A Streptococcus (GAS), and are with that an appropriate indication for prescribing antibiotic therapy. Taking that into account, Centor score and other clinical prediction rules have been proposed as a way to increase the accuracy of clinical diagnosis of GAS infection and to decrease the unnecessary antibiotic prescriptions.
Centor (McIsaac modification) score estimates probability of group A streptococcal pharyngitis in children and adults and suggests the management course depending on the calculated score value. The score is based on the combination of 5 variables: age, temperature, presence of cough, tender anterior cervical adenopathy and tonsillar swelling or exudate.
The Centor score and its McIsaac modification have been externally validated and are endorsed by American and European guidelines for the diagnosis and treatment of GAS pharyngitis as one of the suggested clinical prediction rules in adults.
Upper respiratory tract infections are one of the most common reasons for visiting a family physician and receiving an antibiotic. But only 10 % to 20 % of sore throat presentations in general practice actually culture positive for group A Streptococcus (GAS), and are with that an appropriate indication for prescribing antibiotic therapy. Taking that into account, Centor score and other clinical prediction rules have been proposed as a way to increase the accuracy of clinical diagnosis of GAS infection and to decrease the unnecessary antibiotic prescriptions.
Centor (McIsaac modification) score estimates probability of group A streptococcal pharyngitis in children and adults and suggests the management course depending on the calculated score value. The score is based on the combination of 5 variables: age, temperature, presence of cough, tender anterior cervical adenopathy and tonsillar swelling or exudate.
The Centor score and its McIsaac modification have been externally validated and are endorsed by American and European guidelines for the diagnosis and treatment of GAS pharyngitis as one of the suggested clinical prediction rules in adults.
References
McIsaac et. al. A clinical score to reduce unnecessary antibiotic use in patients with sore throat. Canadian Medical Association Journal. 1998;158(1).
McIsaac, Warren J., et al. Empirical validation of guidelines for the management of pharyngitis in children and adults. Jama 291.13 (2004): 1587-1595.
Centor, Robert M., et al. The diagnosis of strep throat in adults in the emergency room. Medical Decision Making 1.3 (1981): 239-246.
Έκδοση
1
Σχετικά με αυτό το εργαλείο
Upper respiratory tract infections are one of the most common reasons for visiting a family physician and receiving an antibiotic. But only 10 % to 20 % of sore throat presentations in general practice actually culture positive for group A Streptococcus (GAS), and are with that an appropriate indication for prescribing antibiotic therapy. Taking that into account, Centor score and other clinical prediction rules have been proposed as a way to increase the accuracy of clinical diagnosis of GAS infection and to decrease the unnecessary antibiotic prescriptions.
Centor (McIsaac modification) score estimates probability of group A streptococcal pharyngitis in children and adults and suggests the management course depending on the calculated score value. The score is based on the combination of 5 variables: age, temperature, presence of cough, tender anterior cervical adenopathy and tonsillar swelling or exudate.
The Centor score and its McIsaac modification have been externally validated and are endorsed by American and European guidelines for the diagnosis and treatment of GAS pharyngitis as one of the suggested clinical prediction rules in adults.
Centor (McIsaac modification) score estimates probability of group A streptococcal pharyngitis in children and adults and suggests the management course depending on the calculated score value. The score is based on the combination of 5 variables: age, temperature, presence of cough, tender anterior cervical adenopathy and tonsillar swelling or exudate.
The Centor score and its McIsaac modification have been externally validated and are endorsed by American and European guidelines for the diagnosis and treatment of GAS pharyngitis as one of the suggested clinical prediction rules in adults.
