Sternon J, Serruys E, Liesnard C
Service de Médecine Interne, Hôpital Erasme, Bruxelles.
Rev Med Brux. 1995 Nov;16(5):344-8.
The authors present the pharyngo-tonsillitis in four fields: clinical, bacteriology, serology and treatment. They insist on the danger of the beta-hemolytic Strep A, the failures of the ASLO detection and stress the execution of the rapid antigenic test at the office. They suggest the limitation of the administration of antibiotics and the prescription of a penicillin which is much better than macrolides or cephalosporins of second or third generation.
作者从临床、细菌学、血清学和治疗四个方面介绍了咽扁桃体炎。他们强调A组β溶血性链球菌的危险性、抗链球菌溶血素O(ASLO)检测的不足之处,并强调在诊所进行快速抗原检测的必要性。他们建议限制抗生素的使用,并开具青霉素处方,青霉素比第二代或第三代大环内酯类或头孢菌素要好得多。