Ruoff G E
Westside Family Medical Center, Kalamazoo, MI 49009, USA.
Postgrad Med. 1996 Feb;99(2):211-4, 219-22.
Most family physicians have seen cases like this: A child is brought in with pharyngitis, which responds to antibiotic therapy. Soon the mother comes in with fever and a sore throat. She also recovers with therapy, but soon she's back with the child, who has pharyngitis again. Dr Ruoff explains why streptococcal infection recurs and how to assess probability so treatment can be started without waiting for test results. He also discusses alternatives to standard penicillin therapy, some of which may avoid the problems of noncompliance.
一个孩子因咽炎前来就诊，使用抗生素治疗后病情好转。不久，母亲也因发烧和喉咙痛前来。她接受治疗后也康复了，但很快她又带着孩子来了，孩子再次患上了咽炎。鲁夫医生解释了链球菌感染为何会复发，以及如何评估发病可能性，以便在等待检测结果的情况下就能开始治疗。他还讨论了标准青霉素疗法的替代方案，其中一些方案可能避免出现患者不遵医嘱的问题。
