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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."
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.
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)
The modified Centor criteria are a set of five criteria; the total score indicates the probability of a streptococcal infection. [13] One point is given for each of the criteria: [13] Absence of a cough; Swollen and tender cervical lymph nodes; Temperature >38.0 °C (100.4 °F) Tonsillar exudate or swelling
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]
Typical infections of the upper respiratory tract include tonsillitis, pharyngitis, laryngitis, sinusitis, otitis media, certain influenza types, and the common cold. [3] Symptoms of URIs can include cough, sore throat, runny nose, nasal congestion, headache, low-grade fever, facial pressure, and sneezing. [4] [5]
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.
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