Tonsillitis in children: unnecessary laboratory studies and antibiotic use
作者机构：Pediatric Research CentreTampere University and Univesity HospitalTampereFinland
出 版 物：《世界儿科杂志:英文版》 (World Journal of Pediatrics)
年 卷 期：2016年第12卷第1期
页 面：114-117页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：exudative tonsillitis streptococcal antigen test streptococcal culture
摘 要：Background:The Finnish Current Care Guidelines on diagnostics and treatment of sore throat recommend the treatment of only group A streptococcus(GAS)positive cases with *** aim of the study was to evaluate how these guidelines are followed in the pediatric emergency ***:We analyzed retrospectively the data on microbiological studies and blood tests done,and data on prescribing of antibiotics,of 200 children admitted for febrile exudative ***:After the clinical diagnosis of exudative tonsillitis,antigen test and/or culture for GAS identifi cation was done in95%of *** the 32(16%)children with GAS infection,but also 52(38%)of the 137 children without any evidence of bacterial infection received *** laboratory studies were done in 96%of *** C-reactive concentrations or white blood cell counts were not able to separate streptococcal from non-streptococcal *** serious bacterial infection was ***:The Finnish Current Care Guidelines lead to over-treatment with *** of the 200 children returned after discharge,suggesting that undertreatment did not happen.
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