Article Sidebar
Views PDF: 689
OVERVIEW OF SCORING SYSTEMS IN DIAGNOSING GROUP A STREPTOCOCCAL PHARYNGITIS
Main Article Content
Abstract
Objectives: Analysis of scoring systems in diagnosing group A streptococcal pharyngitis. Study Design: Scoping review. Methods: We searched the database on PubMed, Medline, the electronic library of Hanoi Medical University from 2010 to 2022 related to scoring systems in diagnosing group A streptococcal pharyngitis. Results: 40 studies were included in this review. The group of patients with Centor score ≥ 3 accounted for the highest percentage of patients with GAS infection. The sensitivity of the Centor scale is inversely proportional to the Centor score. Compared with the Centor system, the sensitivity of the McIsaac system is higher and ranges from 0.7-0.9. The rate of antibiotic use was reduced by 35-50% in the patient group clinically diagnosed based on the Centor score. Conclusions: Although the Centor and McIsaac scores are not sufficient to establish a diagnosis of GAS, especially in children, with reasonable sensitivity and high specificity, these scales can assist physicians in making the diagnosis of group A strep throat.
Article Details
Keywords
“pharyngitis”, “sore throat”, “tonsillitis”, “pharyngotonsillitis”, “Streptococcus pyogenes”, “Group A-haemolytic Streptococcus pyogenes”, “streptococcal pharyngitis
References
2. Fine AM, Nizet V, Mandl KD. Large-scale validation of the Centor and McIsaac scores to predict group A streptococcal pharyngitis. Arch Intern Med. 2012;172(11):847-852.
3. Kose E, Sirin Kose S, Akca D, et al. The Effect of Rapid Antigen Detection Test on Antibiotic Prescription Decision of Clinicians and Reducing Antibiotic Costs in Children with Acute Pharyngitis. J Trop Pediatr. 2016;62(4):308-315.
4. Aalbers J, O’Brien KK, Chan WS, et al. Predicting streptococcal pharyngitis in adults in primary care: a systematic review of the diagnostic accuracy of symptoms and signs and validation of the Centor score. BMC Med. 2011;9:67.
5. Llor C, Madurell J, Balagué-Corbella M, Gómez M, Cots JM. Impact on antibiotic prescription of rapid antigen detection testing in acute pharyngitis in adults: a randomised clinical trial. Br J Gen Pract J R Coll Gen Pract. 2011;61(586):e244-251.
6. Bird C, Winzor G, Lemon K, Moffat A, Newton T, Gray J. A Pragmatic Study to Evaluate the Use of a Rapid Diagnostic Test to Detect Group A Streptococcal Pharyngitis in Children With the Aim of Reducing Antibiotic Use in a UK Emergency Department. Pediatr Emerg Care. 2021;37(5):e249-e251.