[Clinical diagnosis of group A streptococcal pharyngitis and progress in the application of scoring systems].

Si-Yu Chen, Meng-Yang Guo, Jiang-Hong Deng, Kai-Hu Yao
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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.

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[A组链球菌咽炎的临床诊断及评分系统的应用进展]。
咽炎可由多种病原体引起,包括病毒和细菌。A 组链球菌(GAS)是咽炎最常见的细菌病因。然而,在临床环境中,将 A 组链球菌咽炎与其他类型的上呼吸道感染区分开来具有挑战性。这往往会导致经验性治疗,进而导致抗菌药物的过度使用。随着中国抗菌药物管理和医疗支付改革的推进,减少不必要的抗菌药物检测和处方势在必行。为促进GAS咽炎的规范化诊断和治疗,本文综述了国际上关于GAS咽炎临床诊断和鉴别诊断的各种指南,尤其关注指导GAS咽炎实验室检测和抗菌药物治疗决策的临床评分系统及其应用建议,为国内研究者和临床工作者提供参考。
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来源期刊
中国当代儿科杂志
中国当代儿科杂志 Medicine-Pediatrics, Perinatology and Child Health
CiteScore
1.50
自引率
0.00%
发文量
5006
期刊介绍: The Chinese Journal of Contemporary Pediatrics (CJCP) is a peer-reviewed open access periodical in the field of pediatrics that is sponsored by the Central South University/Xiangya Hospital of Central South University and under the auspices of the Ministry of Education of China. It is cited as a source in the scientific and technological papers of Chinese journals, the Chinese Science Citation Database (CSCD), and is one of the core Chinese periodicals in the Peking University Library. CJCP has been indexed by MEDLINE/PubMed/PMC of the American National Library, American Chemical Abstracts (CA), Holland Medical Abstracts (EM), Western Pacific Region Index Medicus (WPRIM), Scopus and EBSCO. It is a monthly periodical published on the 15th of every month, and is distributed both at home and overseas. The Chinese series publication number is CN 43-1301/R;ISSN 1008-8830. The tenet of CJCP is to “reflect the latest advances and be open to the world”. The periodical reports the most recent advances in the contemporary pediatric field. The majority of the readership is pediatric doctors and researchers.
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