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The Centor criteria are a set of criteria which may be used to identify the likelihood of a bacterial infection in patients complaining of a sore throat. They were developed as a method to quickly diagnose the presence of Group A streptococcal infection or diagnosis of streptococcal pharyngitis in "adult patients who presented to an urban emergency room complaining of a sore throat."
A modified version of the Centor criteria, which modified the original Centor criteria in 1998, is often used to aid in diagnosis. The original Centor criteria had four major criteria but the modified Centor criteria have five. The five major criteria of the modified Centor score are: Presence of tonsillar exudate; Painful neck lymph nodes
The modified Centor criteria may be used to determine the management of people with pharyngitis. Based on five clinical criteria, it indicates the probability of a streptococcal infection. [21] One point is given for each of the criteria: [21] Absence of a cough; Swollen and tender cervical lymph nodes; Temperature more than 38.0 °C (100.4 °F)
Acute pharyngitis is one of the most frequent illnesses for which pediatricians and other primary care physicians are consulted, with an estimated 15 million visits per year in the United States.
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A throat culture is the gold standard [21] for the diagnosis of streptococcal pharyngitis, with a sensitivity of 90–95%. [13] A rapid strep test (also called rapid antigen detection testing or RADT) may also be used. While the rapid strep test is quicker, it has a lower sensitivity (70%) and statistically equal specificity (98%) as a throat ...
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462 Pharyngitis, acute; 463 Tonsillitis, acute; 464 Acute laryngitis and tracheitis. 464.0 Laryngitis, acute, no obstruction; 464.3 Epiglottitis, acute; 464.4 Croup; 465 Acute upper respiratory infections of multiple or unspecified sites 465.9 Upper respiratory infection, acute, NOS; 466 Acute bronchitis and bronchiolitis. 466.0 Bronchitis, acute