Muthanna Abdulrahman, Salim Hani Syahida, Hamat Rukman Awang, Shamsuddin Nurainul Hana, Zakariah Siti Zulaikha
Department of Medical Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia.
Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia.
Malays J Med Sci. 2018 Nov;25(6):6-21. doi: 10.21315/mjms2018.25.6.2. Epub 2018 Dec 28.
This review highlights the clinical scoring tools used for the management of acute pharyngotonsillitis in primary care clinics. It will include the prevalence of group A pharyngotonsillitis among children and adults worldwide and the selective tests employed for diagnosing group A streptococcal pharyngotonsillitis. Pharyngotonsillitis is one of the common reasons for visits to primary care clinics worldwide, and physicians tend to prescribe antibiotics according to the clinical symptoms, which leads to overprescribing antibiotics. This in turn may lead to serious health impacts and severe reactions and may promote antibiotic resistance. These significantly add on to the health care costs. The available information from health organisations and previous studies has indicated the need to manage the diagnosis of pharyngotonsillitis to improve prescribing habits in primary care clinics.
本综述重点介绍了基层医疗诊所中用于管理急性咽扁桃体炎的临床评分工具。它将包括全球儿童和成人中A组咽扁桃体炎的患病率以及用于诊断A组链球菌性咽扁桃体炎的选择性检测。咽扁桃体炎是全球基层医疗诊所就诊的常见原因之一，医生往往根据临床症状开具抗生素，这导致抗生素过度使用。这反过来可能导致严重的健康影响和严重反应，并可能促进抗生素耐药性。这些都会显著增加医疗成本。卫生组织和以往研究提供的现有信息表明，有必要对咽扁桃体炎的诊断进行管理，以改善基层医疗诊所的处方习惯。
