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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 scoring system, such as the Centor score, may help separate possible causes. [1] [5] Confirmation may be by a throat swab or rapid strep test. [1] [5] Treatment efforts involve improving symptoms and decreasing complications. [5] Paracetamol (acetaminophen) and ibuprofen may be used to help with pain.
Strep throat, a bacterial infection, is the cause in about 25% of children and 10% of adults. [2] Uncommon causes include other bacteria such as gonococcus, fungi, irritants such as smoke, allergies, and gastroesophageal reflux disease. [2] [4] Specific testing is not recommended in people who have clear symptoms of a viral infection, such as a ...
The symptoms of strep throat usually improve within three to five days, irrespective of treatment. [23] Treatment with antibiotics reduces the risk of complications and transmission; children may return to school 24 hours after antibiotics are administered. [13] The risk of complications in adults is low. [8]
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]
Adults in intensive care units (ICU) have a higher risk of acquiring an RTI. [24] A combination of topical and systematic antibiotics taken prophylactically can prevent infection and improve adults' overall mortality in the ICU for adult patients receiving mechanical ventilation for at least 48 hours, and topical antibiotic prophylaxis probably ...
Treatment can also be given while a patient is under anesthesia, but this is usually reserved for children or anxious patients. Tonsillectomy can be indicated if a patient has recurring peritonsillar abscesses or a history of tonsillitis. For patients with their first peritonsillar abscess most ENT-surgeons prefer to "wait and observe" before ...
The above statistical analysis is dated, necessarily. A 2015 study of young adult students presenting to a single clinic in Alabama had F. necrophorum as the predominant causative organism for pharyngitis 21% of the time (and found in 9% of asymptomatic students). [11]