The full content of Annals is available to subscribers

Subscribe/Learn More  >
Position Papers |

Principles of Appropriate Antibiotic Use for Acute Pharyngitis in Adults

Vincenza Snow, MD; Christel Mottur-Pilson, PhD; Richelle J. Cooper, MD, MSHS; Jerome R. Hoffman, MD, MA, American College of Physicians–American Society of Internal Medicine*
[+] Article and Author Information

*This paper, written by Vincenza Snow, MD, Christel Mottur-Pilson, PhD, Richelle J. Cooper, MD, MSHS, and Jerome R. Hoffman, MD, MA, was developed for the Clinical Efficacy Assessment Subcommittee: David C. Dale, MD (Chair); Patricia P. Barry, MD; William E. Golden, MD; Robert D. McCartney, MD; Keith W. Michl, MD; Allan R. Ronald, MD; Sean R. Tunis, MD; Kevin B. Weiss, MD; and Preston L. Winters, MD. Approved by the Board of Regents on 16 July 2000.

Annals of Internal Medicine encourages readers to copy and distribute this paper, providing such distribution is not for profit. Commercial distribution is not permitted without the express permission of the publisher.

Note: Clinical practice guidelines are “guides” only and may not apply to all patients and all clinical situations. Thus, they are not intended to override clinicians' clinical judgment. All clinical practice guidelines from the American College of Physicians–American Society of Internal Medicine are considered automatically withdrawn or invalid 5 years after publication or once an update has been issued.

Grant Support: Dr. Cooper is supported in part by a National Research Service Award (F32 HS00134-01) from the Agency for Healthcare Research and Quality.

Requests for Single Reprints: Customer Service, American College of Physicians–American Society of Internal Medicine, 190 N. Independence Mall West, Philadelphia, PA 19106.

Current Author Addresses: Drs. Snow and Mottur-Pilson: American College of Physicians–American Society of Internal Medicine, 190 N. Independence Mall West, Philadelphia, PA 19106.

Drs. Cooper and Hoffman: Department of Emergency Medicine, University of California, Los Angeles, 924 Westwood Boulevard, Los Angeles, CA 90024.

Ann Intern Med. 2001;134(6):506-508. doi:10.7326/0003-4819-134-6-200103200-00018
Text Size: A A A

In this guideline, we present the evidence and make specific recommendations on how clinicians can distinguish and diagnose pharyngitis caused by group A β-hemolytic streptococcus (GABHS). We also discuss when antibiotic use is beneficial and which antibiotics should be used. This guideline will not cover gonococcal pharyngitis and diphtheria, for which the appropriateness of immediate antibiotic treatment is well established. The numbers in square brackets are cross-references to the numbered sections in the accompanying background paper, “Principles of Appropriate Antibiotic Use for Acute Pharyngitis in Adults: Background,” which is part 2 of this guideline (see pages 509-517).

First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.