A군 연쇄구균 인두염의 진단 및 항생제 사용 여부 결정에서 Centor Score의 유용성

이혜란; 김정태; 이재용; 신재민; 김재욱; 이병돈; 황규린

추천

검색

자료유형: 학술저널

저자정보: 이혜란 김정태 이재용 신재민 김재욱 이병돈 황규린

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제1호

발행연도: 2018.1

수록면: 35 - 41 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background and Objectives This study aims to verify the usefulness of Centor scores to diagnose the Group A Streptococcal pharyngitis. Subjects and Method The subjects of this study were 379 patients who had been examined by the rapid antigen detection test (RADT) for Group A Streptococcus. We analyzed their medical records and laboratory test results retrospectively and compared the results of Centor symptom scores with those of RADT. Then we analyzed the association of RADT, the Centor score and the laboratory test results statistically. Results There were no correlation between the RADT results and fever, cough, tonsillar enlargement, nasal symptoms, myalgia or chilling (p＞0.05). In the RADT positive group, there were more patients with tonsillar exudate, neck lymph node enlargement, tenderness and pharyngeal abscess formation significantly (p＜0.05). The Centor score and C-reactive protein were significantly higher in the RADT positive group (p＜0.05). Conclusion The results of this study suggest that Centor symptom scores can be used to determine which antibiotics to use. The Centor score system can help reduce medical costs and detect the problematic Group A Streptococcal pharyngitis. Korean J Otorhinolaryngol-Head Neck Surg 2018;61(1):35-41

참고문헌 (15)

참고문헌 신청

Chiappini E / 2011 / Analysis of different recommendations from international guidelines for the management of acute pharyngitis in adults and children / Clin Ther 33(1):48~58

Centor RM / 1981 / The diagnosis of strep throat in adults in the emergency room / Med Decis Making 1(3):239~246

Anjos LM / 2014 / Streptococcal acute pharyngitis / Rev Soc Bras Med Trop 47(4):409~413

Wessels MR. Clinical practice / 2011 / Streptococcal pharyngitis / N Engl J Med 364(7):648~655

Cooper RJ / 2001 / Principles of appropriate antibiotic use for acute pharyngitis in adults: background / Ann Intern Med 134(6):509~517

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!