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The Centor criteria were originally developed for adults. A study published in the British Medical Journal in 2013 looked at whether it could be applied to children aged 2–16. 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.
The Centor criteria are also ineffective in diagnosis for tonsillitis in children and in secondary care settings (hospitals). [15] A modified version of the Centor criteria, which modified the original Centor criteria in 1998, is often used to aid in diagnosis.
Throat swab. Differentiating a viral and a bacterial cause of a sore throat based on symptoms alone is difficult. [29] Thus, a throat swab often is done to rule out a bacterial cause. [30] The modified Centor criteria may be used to determine the management of people with pharyngitis. Based on five clinical criteria, it indicates the ...
Strep throat is a common bacterial infection in children. [2] It is the cause of 15–40% of sore throats among children [7] [13] and 5–15% among adults. [8] Cases are more common in late winter and early spring. [13] Potential complications include rheumatic fever and peritonsillar abscess. [1] [2]
Sore throat Sometimes (post-nasal drip) Very common [6] Sometimes Cough Sometimes Common (mild to moderate, hacking) [6] Common (dry cough, can be severe) Headache Uncommon Rare Common Fever Never Rare in adults, possible in children [6] Very common 37.8–38.9 °C (100–102 °F)(or higher in young children), lasting 3–4 days; may have chills
Diagnostic criteria Designates the combination of signs , symptoms , and test results that the clinician uses to attempt to determine the correct diagnosis. They are standards, normally published by international committees, and they are designed to offer the best sensitivity and specificity possible, respect the presence of a condition, with ...
However, they are largest relative to the diameter of the throat in young children. In adults, each palatine tonsil normally measures up to 2.5 cm in length, 2.0 cm in width and 1.2 cm in thickness. [5] The adenoid grows until the age of 5, starts to shrink at the age of 7 and becomes small in adulthood. [medical citation needed]
Throat of a child with a positive throat culture for streptococcal pharyngitis Streptococcal pharyngitis with red throat/uvula and spots on roof of mouth. Strep throat is usually associated with fatigue and a fever of over 39 °C (102.2 °F). [13] The tonsils may appear red and enlarged and are typically covered in exudate. [12]