Infectious diseases (miscellaneous) Flashcards
1
Q
What are the likely microbial causes of pharyngitis?
A
Viral: adenovirus, rhinovirus, coronovirus, EPV.
Bacterial: Group A Streptococcus, H. influenzae, Step. pneumoniae
2
Q
What system is used to determine antibiotic prescription in Ps with pharyngitis?
A
Fever-PAIN Score
3
Q
Which criteria does the Fever-PAIN Score involve?
A
- fever in last 24hrs
- muscle aches
- sore throat
- absence of bad cough
- severely inflamed tonsils (e.g. pus)
- anterior cervical glands
4
Q
How likely is it that Ps with fever-PAIN Scores of 0-1, 2-3 and >4 have a streptococcal infection? What is the implication for antibiotic prescription?
A
0-1: 13-18% (no antibiotics)
2-3: 34-40% (delayed/back-up antibiotic)
>4: 62-65% (antibiotics)
5
Q
What is the likely cause of lumps in the neck of Ps with pharyngitis?
A
reactive lymph nodes