Clinical diagnosis of group A streptococcal pharyngitis and progress in the application of scoring systems
10.7499/j.issn.1008-8830.2403044
- VernacularTitle:A族链球菌咽炎的临床诊断及评分制的应用进展
- Author:
Si-Yu CHEN
1
;
Meng-Yang GUO
;
Jiang-Hong DENG
;
Kai-Hu YAO
Author Information
1. 国家儿童医学中心/首都医科大学附属北京儿童医院/北京市儿科研究所感染与微生物研究室/国家呼吸系统疾病临床医学研究中心/儿科学国家重点学科/儿科重大疾病研究教育部重点实验室,北京 100045
- Keywords:
Group A streptococcus;
Pharyngitis;
Clinical manifestation;
Diagnosis;
Clinical scoring system
- From:
Chinese Journal of Contemporary Pediatrics
2024;26(8):893-898
- CountryChina
- Language:Chinese
-
Abstract:
Pharyngitis can be caused by various pathogens,including viruses and bacteria.Group A streptococcus(GAS)is the most common bacterial cause of pharyngitis.However,distinguishing GAS pharyngitis from other types of upper respiratory tract infections is challenging in clinical settings.This often leads to empirical treatments and,consequently,the overuse of antimicrobial drugs.With the advancement of antimicrobial drug management and healthcare payment reform initiatives in China,reducing unnecessary testing and prescriptions of antimicrobial drugs is imperative.To promote standardized diagnosis and treatment of GAS pharyngitis,this article reviews various international guidelines on the clinical diagnosis and differential diagnosis of GAS pharyngitis,particularly focusing on clinical scoring systems guiding laboratory testing and antimicrobial treatment decisions for GAS pharyngitis and their application recommendations,providing a reference for domestic researchers and clinical practitioners.
