RICHARD K. TOMPKINS, M.D.
To the editor: Dr. Alan Bisno's editorial in the March 1979 issue (1) contains a gross inaccuracy that I feel must be corrected. He states that my colleagues and I "have advocated treatment of all patients with sore throats with antibiotics as the most cost-effective way to prevent acute rheumatic fever." In our article on the cost-effectiveness of pharyngitis management (2) we specifically avoided making such a recommendation and, instead, suggested that clinical attributes (that is, history and physical findings) could be used to choose cost-effective treatment plans for individual patients.
Our approach to streptococcal pharyngitis management is quite similar
TOMPKINS RK. Streptococcal Pharyngitis. Ann Intern Med. ;91:133–134. doi: 10.7326/0003-4819-91-1-133
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Published: Ann Intern Med. 1979;91(1):133-134.
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