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Pharyngitis in Children - Clinicians’ Management Approach
Study Description and Methods
In a survey to AAFP members, we determined factors associated with appropriate management of children with pharyngitis. We characterized office laboratory methods used by clinicians to diagnose pharyngitis caused by group A streptococcus (GAS) including rapid antigen detection test (RADT) and throat cultures, and also assessed clinicians’ treatment of pharyngitis.
Specific Aims and Objectives
Our specific aims were:
- Evaluate current diagnostic methods and treatment approaches for children with pharyngitis by primary care practitioners (pediatricians, and family practitioners).
- Identify factors associated with the use of appropriate laboratory methods by primary care practitioners.
- Assess the treatment regimen including antimicrobial choices, length and goals of therapy.
- Determine the impact of full implementation of Clinical Laboratory Improvement Act (CLIA) on the performance of these tests in office settings.
Timeline
This project was conducted from February 15, 2004 to December 31, 2004.
Status
This project has been completed. See below for Key Findings and Publications!
Contact Information
For additional information about this study, please contact:
James Galliher, PhD
Research Director
AAFP National Research Network
1-800-274-2237 x3120
jgallihe@aafp.org
James Galliher, PhD
Research Director
AAFP National Research Network
1-800-274-2237 x3120
jgallihe@aafp.org
Key Findings and Publications
There is much room for improvement in the management of acute pharyngitis in children and adolescents. Most physicians use appropriate management strategies; however, a substantial number uses inappropriate ones, particularly for children with likely viral pharyngitis. Efforts to help physicians improve practices will need to be multifaceted and should include health policy and educational approaches.
Access the complete manuscript:
Access the complete manuscript:
This project was internally funded.
