Edward L. Kaplan, MD
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2278.
Corresponding Author: Edward L. Kaplan, MD, MMC 296, Department of Pediatrics, University of Minnesota Medical School, 420 Delaware Street SE, Minneapolis, MN 55422; e-mail, firstname.lastname@example.org.
Kaplan EL. Streptococcal Pharyngitis in Adults: Can It Be Efficiently and Effectively Managed by Remote Control?. Ann Intern Med. 2013;159:638-639. doi: 10.7326/0003-4819-159-9-201311050-00013
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Published: Ann Intern Med. 2013;159(9):638-639.
In this issue, Fine and colleagues (1) propose a solution to managing the ever-present threat of group A streptococcal (GAS) pharyngitis. Adult streptococcal pharyngitis continues to worry and perplex clinicians and public health authorities. Which patients require evaluation, and which require treatment? Answering these questions would not only improve care but probably save valuable resources.
Fine and colleagues retrospectively analyzed data from more than 70 000 patients presenting with pharyngitis to derive a “home score” algorithm to identify whether further evaluation was needed. The algorithm incorporates recent local biosurveillance data and responses to questions answered without any clinical training. The authors conclude that using this algorithm might save hundreds of thousands of visits for pharyngitis annually in the United States. Although Fine and colleagues should be commended for this intensive attempt to simplify the approach to this endemic infection in “adults” and render it less expensive, certain aspects of their home score are sufficiently controversial to encourage additional consideration.
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Infectious Disease, Streptococcal Infections.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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