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- W2531506525 abstract "Not only are antibiotics over prescribed, they are often more expensive and of a broader spectrum than is needed. In the definition of acute pharyngitis, a spectrum exists from diff use pharyngeal inflammation to inflammation of the tonsils. The two terms, acute pharyngitis and acute tonsillitis, are being used synonymously. The anatomy, physiology and embryology need to be integrated for adequate diagnosis and treatment. In the case of children, parents may be concerned that removing tonsils early in life might affect the patient's immune system. The majority of sore throats in children are of viral origin. The aetiology is not known in the majority of cases because of the self-limiting nature of the condition. The frequency of each pathogen varies according to criteria such as age, season, geographical area and also the immune status of the patient. Group A betahaemolytic Streptococcus is the most treatable organism and needs a specific work-up. It is also he most common bacterial cause of pharyngitis in children and adolescents. There are differences in evaluating children and adults. In adults, pharyngitis is caused by a bacterial infection inapproximately 5%-10% of patients, while in children bacterial pharyngitis accounts for 30%-40% of cases. Approximately 75% of adults with a sore throat are prescribed antibiotics, even though this will only help a minority of patients. Not every sore throat is due to infection. A long list of non-infective causes exists and these need to be considered in patients who don't respond to medical management and who have an ongoing sore throat. Life-threatening complications can occur and need to be diagnosed and managed early and effectively. Airway obstruction and abscess formation should be identified and acted on." @default.
- W2531506525 created "2016-10-21" @default.
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- W2531506525 date "2016-05-01" @default.
- W2531506525 modified "2023-09-24" @default.
- W2531506525 title "Sore throats : are antibiotics always the answer? : winter ailments CPD" @default.
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