The sore throat : a clinical approach to tonsillopharyngitis
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Date
Authors
Marais, Andre
Leuschner, Machel
Journal Title
Journal ISSN
Volume Title
Publisher
Medpharm Publications, NISC (Pty) and Cogent, Taylor and Francis Group
Abstract
Acute sore throat is a common complaint encountered by medical practitioners and health care workers routinely. The
disease is mostly caused by viral infections of the upper respiratory tract and is usually self-limiting. Symptoms rarely exceed
two weeks, irrespective of the cause. Group A beta-haemolytic streptococci accounts for the majority of bacterial instances of
tonsillopharyngitis. Clinical examination is not always adequate to diagnose bacterial infections, resulting in the irrational and
over-prescribing of antibiotics, especially in upper respiratory tract infections, contributing to communal antimicrobial bacterial
resistance. A few scoring systems are available to assist physicians in deciding on the aetiology without resorting to unnecessary
laboratory investigations. This article briefly reviews the scoring systems and antimicrobial management of streptococcal throat
infections.
Description
Keywords
Centor score, FeverPAIN score, Group A beta-haemolytic streptococci, Pharyngitis, Tonsillitis
Sustainable Development Goals
Citation
Marais, A. & Leuschner, M. 2019, 'The sore throat : a clinical approach to tonsillopharyngitis', South African Family Practice, vol. 61, no. 4, pp. 22-24.