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Letters |16 April 2002

Appropriate Antibiotic Use for Acute Pharyngitis

Jerome R. Hoffman, MD, MA; Richelle J. Cooper, MD, MSHS; Richard E. Besser, MD

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Author, Article, and Disclosure Information
  • University of California, Los Angeles; Los Angeles, CA 90024 (Hoffman, Cooper)
    Centers for Disease Control and Prevention; Atlanta, GA 30333 (Besser)
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IN RESPONSE:
We thank Drs. Zwart and Sachs for their interest in our paper. We largely agree with the overall tenor of their comments. However, we do not believe that any good evidence supports a benefit from administering antibiotics to patients with non-group A streptococcal pharyngitis. In Zwart and colleagues' study (1), the results are neither clinically nor statistically compelling; indeed, in the Discussion section of that paper, the authors are (appropriately) much more cautious about non-group A streptococci than they are in their letter. We are therefore not convinced of the need for “better tests” to identify such infections.
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Hoffman JR, Cooper RJ, Besser RE. Appropriate Antibiotic Use for Acute Pharyngitis. Ann Intern Med. ;136:633. doi: 10.7326/0003-4819-136-8-200204160-00019

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Published: Ann Intern Med. 2002;136(8):633.

DOI: 10.7326/0003-4819-136-8-200204160-00019

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2002 American College of Physicians
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