Skip Navigation
Menu
ACP Journal Club |16 January 2018

Guideline: Experts recommend a single dose of oral steroids for pain relief in acute sore throat

Alexander W. Chessman, MD

Article, Author, and Disclosure Information
FULL TEXT
Aertgeerts B, Agoritsas T, Siemieniuk RA, et al. Corticosteroids for sore throat: a clinical practice guideline. BMJ. 2017;358:j4090. 28931507

GIM/FP/GP:

Emergency Med:

To review evidence and provide recommendations for the use of corticosteroids in patients with acute sore throat.
An international expert panel developed a recommendation for adding corticosteroids to standard care in adults and children ≥ 5 years of age with acute sore throat. The recommendation was based on a systematic review {with searches done to May 2017}*. The review included 10 randomized controlled trials (RCTs) (n = 1426, mean age 26 y, 57% women): 5 evaluated oral dexamethasone, 3 intramuscular dexamethasone, and 1 each evaluated prednisone and betamethasone. 8 RCTs (n = 771) were done in emergency departments, and 2 (n = 655) in primary care practices. The panel comprised an otorhinolaryngologist, pediatricians, general practitioners, general internists, epidemiologists, methodologists, statisticians, and patients. They appraised evidence and developed recommendations using the GRADE approach and considered feedback from journal peer reviewers, practical intervention issues, patient preferences and values, and resource use.
FULL TEXT
PDF
Not Available
Citations
Citation

Chessman AW. Guideline: Experts recommend a single dose of oral steroids for pain relief in acute sore throat. Ann Intern Med. ;168:JC2. doi: 10.7326/ACPJC-2018-168-2-002

Download citation file:

© 2019

×
Permissions

Published: Ann Intern Med. 2018;168(2):JC2.

DOI: 10.7326/ACPJC-2018-168-2-002

©
2018 American College of Physicians
0 Citations

Related Articles
Systemic Pharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline
Annals of Internal Medicine; 166 (7): 480-492
In gluteal tendinopathy, education + exercise improved outcomes vs corticosteroid injection or wait strategy
Annals of Internal Medicine; 169 (4): JC22
Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis: A Systematic Review and Meta-analysis
Annals of Internal Medicine; 163 (5): 373-381
Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians
Annals of Internal Medicine; 166 (7): 514-530
View MoreView Less

Journal Club
In gluteal tendinopathy, education + exercise improved outcomes vs corticosteroid injection or wait strategy
Annals of Internal Medicine; 169 (4): JC22
Corticosteroid injections improved short-term but not long-term recovery and pain in the greater trochanteric pain syndrome
Annals of Internal Medicine; 155 (8): JC4-9
Review: Adjunctive corticosteroids reduce mortality and clinical failure in adult inpatients with CAP
Annals of Internal Medicine; 168 (8): JC40
Review: Adjunctive corticosteroids do not reduce mortality or clinical failure in adult inpatients with CAP
Annals of Internal Medicine; 168 (8): JC41
View MoreView Less

Related Point of Care
Allergic Rhinitis
Annals of Internal Medicine; 146 (7): ITC4-1
Osteoarthritis
Annals of Internal Medicine; 147 (3): ITC8-1
Sickle Cell Disease
Annals of Internal Medicine; 155 (5): ITC3-1
Giant Cell Arteritis
Annals of Internal Medicine; 165 (9): ITC65-ITC80
View MoreView Less

Related Topics
Endocrine and Metabolism

Endocrine and Metabolism.

PubMed Articles
CD24hiCD38hi B regulatory cells from patients with end plate inflammation presented reduced functional potency.
Int Immunopharmacol 2019;
Thymulin treatment attenuates inflammatory pain by modulating spinal cellular and molecular signaling pathways.
Int Immunopharmacol 2019;
View More

Results provided by: PubMed

CONTINUE WITH LIMITED ACCESS
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
acp link acp
silverchair link silverchair

Copyright © 2019 American College of Physicians. All Rights Reserved.

Print ISSN: 0003-4819 | Online ISSN: 1539-3704

Privacy Policy

|

Conditions of Use

This site uses cookies. By continuing to use our website, you are agreeing to our privacy policy. | Accept
×

You need a subscription to this content to use this feature.

×
PDF Downloads Require Access to the Full Article.
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
Access to this Free Content Requires Users to be Registered and Logged In. Please Choose One of the Following Options
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×