Vazquez Michelle N., Sanders Jennifer E.
Assistant Professor of Pediatrics, Division of Pediatric Emergency Medicine, Children's Hospital at Montefiore, Bronx, NY
Assistant Professor, Department of Pediatrics and Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Pediatr Emerg Med Pract. 2017 Dec;14(12):1-20. Epub 2017 Dec 1.
Although group A Streptococcus (GAS) pharyngitis is the most common cause of bacterial pharyngitis in children and adolescents, many viral and bacterial infections mimic the symptoms of GAS pharyngitis. Emergency clinicians must recognize the symptomatology of GAS pharyngitis and use appropriate means of diagnosis and treatment to promote good antibiotic stewardship. This issue reviews the signs and symptoms of GAS pharyngitis, as well as associated complications, and provides recommendations for appropriate treatment that focuses on reducing the severity and duration of symptoms, reducing the incidence of nonsuppurative complications, and reducing transmission.
虽然A组链球菌（GAS）咽炎是儿童和青少年细菌性咽炎最常见的病因，但许多病毒和细菌感染会模仿GAS咽炎的症状。急诊临床医生必须认识到GAS咽炎的症状，并采用适当的诊断和治疗方法，以促进合理使用抗生素。本期回顾了GAS咽炎的体征和症状以及相关并发症，并提供了适当治疗的建议，重点是减轻症状的严重程度和持续时间、降低非化脓性并发症的发生率以及减少传播。
