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Sore throats are rarely fatal anymore, but there is really no such thing as “just a sore throat.” Whereas antibiotics have no analgesic activity, a single low dose of a corticosteroid such as oral dexamethasone—0.6 mg per kg for children at least five years of age and up to 10 mg for adults—is effective in decreasing pain in the first 24 hours.
A single dose of oral dexamethasone is no more effective than placebo in resolving acute sore throat symptoms at 24 hours in adults who do not receive immediate antibiotic therapy. However, among a multitude of exploratory secondary outcomes, the authors found that, compared with placebo, dexamethas...
This common infection typically presents with fever, dysphagia, and progressively worsening sore throat. Review management strategies, including drainage procedures and antibiotic regimens.
Find out which patients are at increased risk, how to distinguish it from other causes of sore throat, when to order rapid antigen detection testing, when throat cultures should be ordered, and which treatments are most effective.
Compared with placebo, antibiotics can shorten the duration of sore throat symptoms by about 16 hours and can reduce complications. In countries where the absolute rates of complications are higher, antibiotic therapy is more likely to be effective. The effectiveness of antibiotic therapy is greatest in persons with streptococcal pharyngitis.
Find out which clinical examination findings increase the likelihood that a patient with a sore throat has group A beta-hemolytic streptococcal pharyngitis.
In adults with suspected bacterial pharyngitis who require antibiotic therapy, adding a corticosteroid may increase the likelihood of complete pain resolution at 24 hours. Further study is needed to assess the safety of corticosteroids and whether they can be recommended for presumed viral pharyngitis or for children.
Sep 1, 2013 Issue
IDSA Updates Guideline for Managing Group A Streptococcal Pharyngitis [Practice Guidelines]
The Infectious Diseases Society of America (IDSA) has updated its 2002 guideline on managing group A streptococcal pharyngitis. The illness primarily occurs in children five to 15 years of age. Patients typically present with sudden onset of a sore throat, pain with swallowing, and fever.
Sep 1, 2011 Issue
AAO-HNS Guidelines for Tonsillectomy in Children and Adolescents [Practice Guidelines]
Although tonsillectomy is common and improves patients' quality of life, there are possible risks and practice variations in the care of patients undergoing tonsillectomy. Recent guidelines from the American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) aim to provide physicians with evi...
Group A streptococcus (GAS) infections of the pharynx are the precipitating cause of rheumatic fever. Proper diagnosis and adequate antibiotic treatment of GAS infections can prevent acute rheumatic fever in most cases. The American Heart Association (AHA) recently updated its recommendations on the prevention of rheumatic fever.