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In primary care settings, the Centor criteria are used to determine the likelihood of group A beta-hemolytic streptococcus (GABHS) infection in an acute tonsillitis and the need of antibiotics for tonsillitis treatment. [1] [15] However, the Centor criteria have their weaknesses in making precise diagnosis for adults.
It compared delaying antibiotic treatment to either starting them immediately or to no antibiotics. Outcomes were mixed depending on the respiratory tract infection; symptoms of acute otitis media and sore throat were modestly improved with immediate antibiotics with minimal difference in complication rate.
If the sore throat is unrelated to a cold and is caused by, for example, tonsillitis, a cold drink may be helpful. [16] There are also other medications such as lozenges which can help soothe irritated tissues of the throat. Without active treatment, symptoms usually last two to seven days. [17]
Often, tonsillitis will go away by itself, but depending on the type of infection, you may need to take a course of prescription antibiotics. In conversation with USA TODAY, an expert breaks down ...
Tonsillitis usually affects both tonsils, but can result in uvula swelling because of the infection and inflammation. “At times, one tonsil is infected and an abscess can occur that causes one ...
It is recommended to avoid antibiotic use unless bacterial infections are severe, transmissible, or have a high risk of further complications if left untreated. [20] Unnecessary use of antibiotics could increase antibiotic-resistant infections, affect the digestive system, create allergic reactions, and other intense side effects. [21]
Antibiotics are some of the most powerful tools in medicine. They’re prescribed to treat a variety of infections caused by bacteria, such as urinary tract infections, most ear infections, strep ...
It was a retrospective study (2008–2010) and looked at 441 children who attended a Belgian hospital emergency department and had a throat swab taken. It concluded that the Centor criteria are ineffective in predicting the presence of Group A beta-haemolytic streptococcus (i.e. antibiotic treatment-worthy) on throat swab cultures in children. [4]