Centor Criteria: Antibiotics or Not?

  The Centor score is an appropriate screening method for acute tonsillitis but limited to patients of at least 15 years of age. The Centor score uses 4 signs and symptoms and a scale of 0 to 4 for diagnosis. history of fever > 38oC, absence of a cough, swollen and tender anterior cervical lymph nodes, […]

Do Patients with Pharyngitis Need to Be Treated with Antibiotics?

Acute pharyngitis SHOULD NOT typically be treated with antibiotics. The great majority of cases are viral in origin MYTH#1: Antibiotics reduce symptomology – NO THEY DON’T (Steroids DO) MYTH #2: Antibiotics reduce the rate of suppurative complications – NO THEY DON’T (Little 2013). Clinical Bottom Line: We are far more likely to HARM patients with pharyngitis by giving […]

Do Patients with Strep Throat Need to Be Treated with Antibiotics?

Background: Streptococcal pharyngitis is a common presentation to primary care and Emergency Department physicians. Every year, millions of patients are treated with antibiotics for pharyngitis. However, less than 10% of these patients actually have strep pharyngitis (Barnett 2013).

Emergency Medicine Kenya Foundation