ArticleAnales de pediatria (Barcelona, Spain : 2003)2011
[Consensus document on the diagnosis and treatment of acute tonsillopharyngitis].
Article in Anales de pediatria (Barcelona, Spain : 2003), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 37 citations in OpenAlex.
- [Introduction of rapid streptococcal antigen test: can its use improve adherence to antibiotic therapy?]Atencion primaria · 2021Trial
- Acute pharyngitis in children and adults: descriptive comparison of current recommendations from national and international guidelines and future perspectives.European journal of pediatrics · 2023Review
- Retrospective study of group A Streptococcus oropharyngeal infection diagnosis using a rapid antigenic detection test in a paediatric population from the central region of Portugal.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021Article
- [Detección de Streptococcus pyogenes en muestras faringoamigdalares mediante técnica de detección de antígeno].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2020Article
- [Utility of clinical criteria for the adequate diagnosis of the pharingoamigdalitis in the pediatric emergency service].Revista espanola de salud publica · 2019Article
- Treatment Challenges of Group A Beta-hemolytic Streptococcal Pharyngo-Tonsillitis.International archives of otorhinolaryngology · 2017Review
- [Recommendations for management of acute pharyngitis in adults].Enfermedades infecciosas y microbiologia clinica · 2016Review
- [Recommendations for management of acute pharyngitis in adults].Atencion primaria · 2015Article
- Review
- Streptococcal pharyngitis in children: to treat or not to treat?European journal of pediatrics · 2014Review
- Management of acute streptococcal pharyngitis: still the subject of controversy.Central European journal of medicine · 2013Review
- [Recommendations for the use of rapid diagnosis techniques in respiratory infections in primary care].Atencion primariaArticle
- Recommendations for management of acute pharyngitis in adults.Acta otorrinolaringologica espanolaReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute tonsillopharyngitis is one of the most common childhood diseases. Viruses are the most frequent origin. Group A Streptococcus (Streptococcus pyogenes) is the main bacterial cause. A culture or a rapid antigen-detection test of a throat-swab specimen should only be done on the basis of clinical scores, in order to avoid over-diagnosis of bacterial origin and unnecessary antibiotic prescription. The objectives of treatment are: the reduction of symptoms, reduce the contagious period, and prevent local suppurative and systemic complications. Ideally, only confirmed cases should receive antibiotics. If there is no possibility to perform a rapid antigen-detection test, or in some cases if the result is negative, it is recommended to perform a culture and, if there is high suspicious index, to prescribe antibiotics. Penicillin is the treatment of choice, although amoxicillin is also accepted as the first option. Amoxicillin/clavulanate is not indicated in any case as empirical treatment. Macrolides are not a first choice antibiotic, and should be reserved for those patients with immediate penicillin allergy reaction or for the treatment of streptococcal carriers. It is of primordial importance to adapt the prescribing of antibiotics to the scientific evidence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.