Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Pharyngitis.

Miriam T Vincent1, Nadhia Celestin, Aneela N Hussain

  • 1Department of Family Practice, State University of New York-Downstate Medical Center, Brooklyn, New York 11203-2098, USA. mvincent@downstate.edu

American Family Physician
|April 1, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Attitude of parents towards seasonal influenza vaccination for children in Saudi Arabia.

Journal of family medicine and primary care·2021
Same author

Role of testosterone in COVID-19 patients - A double-edged sword?

Medical hypotheses·2020
Same author

The yield of pap smears and its characteristics in a community based setting in Saudi Arabia.

Saudi medical journal·2020
Same author

Trends and Patterns of Primary Hepatic Carcinoma in Saudi Arabia.

The Gulf journal of oncology·2019
Same author

Attitudes and perceptions towards HPV vaccination among young women in Saudi Arabia.

Journal of family & community medicine·2016
Same author

Chorangiomatosis: Evaluation of a placental vascular lesion and related clinical effects.

Fetal and pediatric pathology·2014
Same journal

For Post-stent Patients With Atherosclerotic Coronary Vascular Disease Who Are Taking an Anticoagulant, Adding Aspirin Worsens Outcomes.

American family physician·2026
Same journal

Nausea and Vomiting During Pregnancy.

American family physician·2026
Same journal

Metabolic Dysfunction-Associated Steatotic Liver Disease: Diagnosis and Management.

American family physician·2026
Same journal

Aerobic Exercise Is the Better Exercise Modality for Knee Osteoarthritis.

American family physician·2026
Same journal

Overscreening Leads to Overdiagnosis of MASLD.

American family physician·2026
Same journal

Type 2 Diabetes: Outpatient Insulin Management.

American family physician·2026
See all related articles

Sore throat is common, but most cases are viral and don't need antibiotics. Clinical guidelines help physicians identify bacterial infections like strep throat, reserving further testing for persistent symptoms.

Area of Science:

  • Family Medicine
  • Infectious Diseases
  • Clinical Decision Making

Background:

  • Sore throat (pharyngitis) is a frequent reason for primary care visits.
  • Bacterial infections, such as group A beta-hemolytic streptococcal infection, account for a minority of sore throat cases requiring antibiotic treatment.
  • Effective clinical decision rules exist to aid physicians in managing pharyngitis.

Purpose of the Study:

  • To review the utility of clinical decision rules for diagnosing the cause of sore throat.
  • To discuss the appropriate use of diagnostic tests, including rapid antigen detection tests and throat cultures, in the management of pharyngitis.
  • To guide family physicians in optimizing antibiotic stewardship for sore throat patients.

Main Methods:

  • Review of existing literature on clinical decision rules for pharyngitis.

Related Experiment Videos

  • Analysis of diagnostic accuracy and utility of rapid streptococcal antigen tests.
  • Evaluation of the role of throat cultures in current clinical practice.

    • Main Results:

    • Fewer than 20% of patients with sore throat have a confirmed bacterial infection warranting antibiotics.
    • Validated clinical decision rules can effectively identify patients likely to have streptococcal pharyngitis.
    • Rapid antigen tests offer improved diagnostic capabilities, allowing for timely treatment decisions.
    • Throat cultures can be reserved for cases with non-response to initial treatment or persistent symptoms.

    Conclusions:

    • Clinical decision rules are essential tools for managing sore throat in primary care.
    • Improved rapid diagnostic tests reduce the need for routine throat cultures.
    • Judicious use of diagnostic testing and adherence to guidelines can improve patient outcomes and antibiotic stewardship.