咽炎
Pharyngitis.
作者信息
Weber Ruth
机构信息
Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita, 1010 North Kansas, Wichita, KS 67214, USA.
出版信息
Prim Care. 2014 Mar;41(1):91-8. doi: 10.1016/j.pop.2013.10.010. Epub 2013 Nov 21.
Abstract
Most infectious pharyngitis has a viral cause. The use of aspirin or nonsteroidal antiinflammatory agents (NSAIAs) is advised in adults and NSAIAs in children for the treatment of pain. There are several studies that show that NSAIAs relieve pharyngitis pain better than acetaminophen. Penicillin remains the antibiotic of choice of group A beta-hemolytic streptococcal (GAS) pharyngitis. Resistance has not developed to penicillin. Patients with GAS pharyngitis should have improvement in 3 to 4 days. If not better at that time, the patient should be seen for diagnostic reconsideration or the development of a suppurative complication.
摘要
大多数感染性咽炎由病毒引起。建议成人使用阿司匹林或非甾体抗炎药（NSAIA），儿童使用NSAIA来治疗疼痛。有多项研究表明，NSAIA缓解咽炎疼痛的效果优于对乙酰氨基酚。青霉素仍然是A组β溶血性链球菌（GAS）咽炎的首选抗生素。尚未出现对青霉素的耐药情况。GAS咽炎患者应在3至4天内有所改善。如果届时没有好转，应就医重新进行诊断或排查是否出现化脓性并发症。
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本文引用的文献
1
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Cochrane Database Syst Rev. 2012 Oct 17;10:CD008268. doi: 10.1002/14651858.CD008268.pub2.
2
Management of adults with acute streptococcal pharyngitis: minimal value for backup strep testing and overuse of antibiotics.成人急性链球菌性咽炎的管理：备用链球菌检测价值不大且抗生素过度使用。
J Gen Intern Med. 2013 Jun;28(6):830-4. doi: 10.1007/s11606-012-2245-8. Epub 2012 Oct 6.
3
Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America.临床实践指南：A 组链球菌咽炎的诊断和管理：美国传染病学会 2012 年更新版。
Clin Infect Dis. 2012 Nov 15;55(10):e86-102. doi: 10.1093/cid/cis629. Epub 2012 Sep 9.
4
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Ann Intern Med. 2012 Sep 4;157(5):ITC3-1 - ITC3-16. doi: 10.7326/0003-4819-157-5-201209040-01003.
5
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6
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Pediatrics. 2012 Aug;130(2):324-34. doi: 10.1542/peds.2011-3857. Epub 2012 Jul 2.
7
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Clin Ther. 2012 Jun;34(6):1442-1458.e2. doi: 10.1016/j.clinthera.2012.04.028.
8
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J Pharm Pharm Sci. 2012;15(2):281-94. doi: 10.18433/j31309.
9
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Arch Intern Med. 2012 Jun 11;172(11):852-3. doi: 10.1001/archinternmed.2012.1741.
10
Guideline for the management of acute sore throat.急性咽痛管理指南。
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