Clinical diagnosis of group A streptococcal pharyngitis and progress in the application of scoring systems
CHEN Si-Yu, GUO Meng-Yang, DENG Jiang-Hong, YAO Kai-Hu
National Center for Children's Health/Beijing Children's Hospital, Capital Medical University/Laboratory of Infection and Microbiology, Beijing Pediatric Research Institute/National Clinical Research Center for Respiratory Diseases/National Key Discipline of Pediatrics/Key Laboratory of the Ministry of Education for Research on Major Pediatric Diseases, Beijing 100045, China
Abstract Pharyngitis can be caused by various pathogens, including viruses and bacteria. Group A streptococcus (GAS) is the most common bacterial cause of pharyngitis. However, distinguishing GAS pharyngitis from other types of upper respiratory tract infections is challenging in clinical settings. This often leads to empirical treatments and, consequently, the overuse of antimicrobial drugs. With the advancement of antimicrobial drug management and healthcare payment reform initiatives in China, reducing unnecessary testing and prescriptions of antimicrobial drugs is imperative. To promote standardized diagnosis and treatment of GAS pharyngitis, this article reviews various international guidelines on the clinical diagnosis and differential diagnosis of GAS pharyngitis, particularly focusing on clinical scoring systems guiding laboratory testing and antimicrobial treatment decisions for GAS pharyngitis and their application recommendations, providing a reference for domestic researchers and clinical practitioners.
Corresponding Authors:
Yao K-H，E-mail： yaokaihu@bch.com.cn
E-mail: yaokaihu@bch.com.cn
Cite this article:
CHEN Si-Yu,GUO Meng-Yang,DENG Jiang-Hong et al. Clinical diagnosis of group A streptococcal pharyngitis and progress in the application of scoring systems[J]. CJCP, 2024, 26(8): 893-898.
CHEN Si-Yu,GUO Meng-Yang,DENG Jiang-Hong et al. Clinical diagnosis of group A streptococcal pharyngitis and progress in the application of scoring systems[J]. CJCP, 2024, 26(8): 893-898.
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