Therapeutics - Acute Pharyngitis

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Author:
kyleannkelsey
ID:
285527
Filename:
Therapeutics - Acute Pharyngitis
Updated:
2014-10-11 18:43:50
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Therapeutics Acute Pharyngitis
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Therapeutics - Acute Pharyngitis
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Therapeutics - Acute Pharyngitis
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  1. What organisms usually cause acute pharyngitis?
    • group A beta hemolytic streptococci (GABHS, Streptococcus pyogenes)
    • non group A (B,C,G)
    • viruses
  2. What is the incubation period for acute pharyngitis?
    2-5 days
  3. How is acute pharyngitis spread?
    Via direct contact with contaminated saliva or nasal droplets
  4. During what period are patients contagious with acute pharyngitis?
    Through the illness and up to 1 week after symptoms subside
  5. What are the clinical characteristics of acute pharyngitis?
    • Acute onset
    • Sore throat
    • Fever
    • Tonsillar exudates
    • Scarletiniform rash
    • Pain with swallowing
    • Absence of rhinorrhea, cough or hoarseness
    • Tender anterior cervical lymph node
    • Erythematous, swollen tonsils and pharynx
    • Petechiae on the soft palate
  6. Which clinical manifestations of acute pharyngitis indicate viral infection?
    • Sore throat
    • Fever
    • Tonsilar exudates
    • Tender anterior cervical lymph node
  7. Group A Beta hemolytic Strep infections (GABHS) can cause what complications in untreated acute pharyngitis?
    • Rheumatic fever
    • Post streptococcal glomerularnephritis
  8. When using a clinical decision tree for deciding when to treat and when not to treat acute pharyngitis, what score indicates empiric treatment?
    > or = to 4
  9. When using a clinical decision tree for deciding when to treat and when not to treat acute pharyngitis, what score indicates that you should culture and treat accordingly?
    1-3
  10. When using a clinical decision tree for deciding when to treat and when not to treat acute pharyngitis, what score indicates Manage symptoms and not treat?
    0
  11. How can you remember the difference between Specificity and Sensitivity?
    • Specificity rules in – SPIN
    • Sensitivity rules out – SNOUT
  12. What are the diagnostic methods for Acute pharyngitis?
    • Hx
    • PE
    • Rapid antigen test
    • Positive culture
  13. What are the supp ortive treatments for acute pharyngitis?
    • Analgesics/antipyretics
    • IBU or APAP
    • Topical anesthetics
    • Spray or lozenges
    • Warm saline gargle
  14. What is the DOC for acute pharyngitis?
    • Pen VK
    • Children: 250 mg PO BID-TID x 10 days
    • Adolescents and Adults: 250 mg PO TID-QID or 500 mg PO BID
  15. What are the alternative antibiotics for acute pharyngitis treatment and what are their duration of treatments?
    • Amoxicillin
    • Benzathine Pen G
    • Erythromycin ethylsuccinate
    • Cephalexin
    • (all for 10 days except Benzathine Pen G, which is a 1 time IV dose)
  16. How should you counsel a patient on antibiotics for acute pharyngitis?
    • Complete the full course of antibiotics since failure can increase the risk of developing rheumatic fever
    • May return to school/work after 24 hrs of antibiotics
    • Contact the physician if symptoms persist beyond 10 days

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