Criteria

Your Organizational Guidance

ebpracticenet urges you to prioritize the following organizational guidance:

Acute KeelpijnPublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2017Mal de gorge aiguPublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2017

Infectious Diseases Society of America[1]

Group A Streptococcus (GAS) pharyngitis is clinically predicted by the presence of 3 or 4 of the following (Centor criteria): pharyngeal exudate, cervical adenopathy, fever, and lack of cough. It is microbiologically confirmed by a rapid antigen test, and if negative, a throat culture for GAS.[46]​ Other more complex clinical scoring systems are of unproven benefit.[47]

McIsaac scoring system

The McIsaac scoring system, created independently, modifies the Centor algorithm to account for the increased prevalence of GAS in children.[42] Like the Centor algorithm, a higher McIsaac composite score means greater risk of a GAS infection.

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