Strep throat in adults
[DOCX File]Background - Home | American College Health Association …
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The diagnosis of strep throat in adults in the emergency room. Med Decis Making 1981;1(3):239-46. 5Bisno, AL, Gerber, MA, Gwaltney, JM Jr, et al. Practice guidelines for the diagnosis and management of group A streptococcal pharyngitis.
[DOC File]Acute Pharyngitis
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Because roughly 75% of all adults with sore throats who who present to a physician receive antibiotics, and many of them receive costly, broad spectrum antibiotics like extended spectrum macrolides or quinolones. Only 5-15% of patients with pharnygitis have strep throat. The potential for serious complications in these patients is quite low.
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Strep throat is caused by Group A beta-hemolytic streptococcal bacteria, most commonly from October to April, often in children 5 to 15 years old but also in adults. The infection is spread by direct person-to-person contact with nasal secretions or saliva. Strep bacteria …
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If rapid strep test is positive, treat with antibiotic as noted below. If rapid strep test is negative, send throat culture if patient is < 18 years of age. If 18 or older, no throat culture is needed.
[DOC File]DISEASES of the RESPIRATORY TRACT
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Strep throat may lead to tonsillitis and/or otitis media, if untreated may lead to sequelae such as rheumatic fever & glomerulonephritis VIRULENCE FACTORS: M protein, streptokinase (lyses clots), streptolysins (lyses WBCs, RBCs & tissues)
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