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Delays in the diagnosis of pharyngitis often lead physicians to prescribe empirically without definitively identifying cases caused by Group A Strep.1 This causes an overuse of antibiotics that leads to an increase in antibiotic-resistant bacteria.2 Even the Centers for Disease Control and Prevention (CDC) recommend in pediatric patients to treat only proven Group A Strep, and that clinical findings alone do not adequately allow physicians to distinguish Strep from non-Strep pharyngitis.3
- Maltezou, H.C. et al. (2008) Evaluation of a rapid antigen detection test in the diagnosis of streptococcal pharyngitis in children and its impact on antibiotic prescription. Journal of Antimicrobial Chemotherapy, 62:1407–1412.
- Regoli, M. et al. (2011) Update on the management of acute pharyngitis in children. Italian Journal of Pediatrics, 37:10.
- Poses R.M., Cebul .RD., Collins M., et al. The accuracy of experienced physicians’ probability estimates for patients with sore throat: implications for decision making. JAMA 1985 254:925-29. Available from: http://www.cdc.gov/getsmart/campaign-materials/info-sheets/child-pharyngitis.html