[The impact of a sore throat score on clinical management of streptococcal angina].
作者信息
Stîngu Cătălina Suzana, Turcu Tatiana, Dimitriu St, Dimitriu Dana
机构信息
Universitatea de Medicină şi Farmacie Gr T Popa Iaşi, Facultatea de Medicină Dentară, Disciplina de Microbiologie.
出版信息
Rev Med Chir Soc Med Nat Iasi. 2005 Jan-Mar;109(1):136-9.
OBJECTIVE
To establish the validity and the role of a clinical sore throat score in clinical management of streptococcal angina on a first visit to a primary care provider.
METHODS
This study included 168 patients. The sore throat score had 5 criteria: age, fever, absence of cough, tender anterior cervical nodes, tonsillar swelling or exudate. The score range is -1 to 5.
RESULTS
Of the 168 patients, 53 (31.5%) had a positive culture result for beta hemolytic streptococci. Compared with throat culture a score = 3 has a sensitivity of 62.,26% (95%CI: 47.9%-75.2%), a specificity of 78.26% (95%CI: 69.6%-85.4%). Efficiency of this score is 73.21%.
CONCLUSIONS
The clinical sore throat score may assist the primary care providers in estimating that a patient has streptococcal angina without replacing rapid antigenic testing or culture.
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