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15 Cards in this Set
- Front
- Back
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Pharyngitis
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Acute inflammation of the mucous membranes and underlying structures of the oropharynx or nasopharynx
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Viral Pharyngitis
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>50% of pharyngitis is viral
Rhinovirus, adenovirus, parainfluenza, influenza, EBV (mono) |
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Bacterial Pharyngitis Organisms
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Group A beta hemolytic streptococci (GABHS, Strep pyogenes)
Groups C, B, G, F and non-typable streptococci |
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GABHS Risk Factors
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5-15yo
Parents, teachers, healthcare workers Winter to early spring |
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GABHS Presentation
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Rapid onset
Throat pain, fever, chills, HA Exudative patches in throat, rash, lymphadentitis Increased WBCs Mild to severe pain |
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Viral Pharyngitis Presentation
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Gradual onset
Rhinorrhea, cough, then throat pain Hoarseness Oral ulcers Moderate pain <5day duration |
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GABHS Diagnostic Tests
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Rapid Streptococcal test (RADT)
Throat culture |
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When to get RADT/Culture
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RADT and/or culture unless overtly viral
+RADT-->no culture -RADT in child-->culture -RADT in adult-->no culture No testing <3yo |
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Viral Pharyngitis Tx
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Acetaminophen/Ibuprofen
Aspirin not recommended Topical analgesic throat sprays |
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Main goal of GABHS Tx
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Prevent acute rheumatic fever and rheumatic heart disease
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1st Line GABHS Tx
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Pen V 10 days
Amoxicillin 10days IM Benzathine Pen G 1 dose |
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1st Line GABHS Tx for Penicillin Allergy
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Cephalexin 10days
Cefadroxil 10days Clindamycin 10days Azithromycin 5days Clarithromycin 10days |
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Other Antibiotics for GABHS
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SMX/TMP: NOT effective
Tetracyclines: Lots of resistance Ciprofloxacin: Limited activity Levofloxacin/Moxifloxacin: Active but unnecessary spectrum |
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GABHS Signs of Improvement
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Improvement in 3-5days
May return to school/work after 24hrs of antibiotic therapy |
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GABHS Tx for Chronic Carriers
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Clindamycin 10daysPenicillin 10days + Rifampin last 4daysAugmentin 10daysBenzathine/Pen G 1 dose + Rifampin 4days
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