Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Self help ambulatoriale

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Self help e percorso diagnostico delle faringo-tonsilliti

DIAGNOSTIC MANAGEMENT OF SORE THROAT IN CHILDREN: TWO EXAMPLES

LAMBERTO REGGIANI

Pediatra di famiglia, Pediatria di Gruppo, Imola

Settembre 2007 - pagg. 445 -448

Abstract
Approximately 8% of visits in our practice regards sore throat. Group A ß-hemolitic streptococcal (GABHS) pharyngitis is diagnosed from 20-30% of cases up to 50% in the high streptococcal epidemiology time. Clinical examination is of limited value in the diagnosis of GABHS pharyngitis, but the McIsaac scoring system has been shown to be sufficiently reliable in some cases. Rapid antigen detection tests (RAD) for GABHS have been available for over 20 years. Increasing sensitivity of these tests has made the diagnosis of GABHS more straightforward, but at the same time more contentious by questioning whether to perform it or not. Epidemiology, clinical evaluation with McIsaac score and RAD test are perhaps the best mix for the diagnostic management of pharyngitis in children.
Parole chiave
Faringite Group A ß-hemolitic streptococci McIsaac score Pharyngitis RAD Rapid antigen detection test Score di McIsaac streptococchi beta-emolitici di gruppo A Test rapido di rilevamento dell'antigene
Classificazione MeSH
Amino Acids, Peptides, and Proteins Proteins Bacterial Proteins Antigens, Bacterial (7)
Investigative Techniques Immunologic Techniques Immunoassay (2)
Infections Respiratory Tract Infections Pharyngitis (72)
Health Care Quality, Access, and Evaluation Quality of Health Care Health Care Evaluation Mechanisms Epidemiologic Research Design Sensitivity and Specificity (35)
Infections Bacterial Infections and Mycoses Bacterial Infections Gram-Positive Bacterial Infections Streptococcal Infections (122)
Bacteria Firmicutes Lactobacillales Streptococcaceae Streptococcus Streptococcus pyogenes (43)
Infections Respiratory Tract Infections Pharyngitis Tonsillitis (39)
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Bibliografia
1. Finnish Medical Society Duodecim. Sore throat and tonsillitis. In: EBM Guidelines. Evidence- Based Medicine. Helsinki, Finland: Duodecim Medical Publications Ltd., 2004.
2. Scottish Intercollegiate Guidelines Network. Management of Sore Throat and Indications for Tonsillectomy. A National Clinical Guideline. Edimburgh (Scotland); 1999 SIGN pubblication n.34. Disponibile al sito: http://www. sign. ac.uk/
3. Institute for Clinical Systems Improvement (ICSI). Acute pharyngitis. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI), 2005:33.
4. McIsaac WJ, Kellner JD, Aufricht P, et al. Empirical validation of guidelines for the management of pharyngitis in children and adults. JAMA 2004;291:1587-95.

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