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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.
The Infectious Disease Society of America recommends against routine antibiotic treatment and considers antibiotics only appropriate when given after a positive test. [8] Testing is not needed in children under three as both group A strep and rheumatic fever are rare, unless a child has a sibling with the disease. [8]
Tonsillitis is a subtype of pharyngitis. [14] If the inflammation includes both the tonsils and other parts of the throat, it may be called pharyngotonsillitis or tonsillopharyngitis . [ 15 ] Another subclassification is nasopharyngitis (the common cold).
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 ...
Treatment comprises symptomatic support usually via analgesics for headache, sore throat, and muscle aches. [13] Moderate exercise in sedentary subjects with a naturally acquired URTI probably does not alter the overall severity and duration of the illness. [14] No randomized trials have been conducted to ascertain benefits of increasing fluid ...
Tonsillectomy is mainly undertaken for sleep apnea and recurrent or chronic tonsillitis. [1] It is also carried out for peritonsillar abscess, periodic fever, aphthous stomatitis, pharyngitis and adenitis (PFAPA), guttate psoriasis, nasal airway obstruction, tonsil cancer and diphtheria carrier state.
Surgical treatment may include partial or complete tonsil removal. [1] [10] Up to 10% of people have tonsil stones. [1] Biological sex does not influence the chance of having tonsil stones, [1] but older people are more commonly affected. [2] Many people opt to extract their own tonsil stones manually or with developments in dental hygiene ...