陳亦俊醫生 ~ Practice Recommendation for the Management of Acute Pharyngitis 急性咽炎處理的操作建議


www.hkjpaed.org

Abstract


Acute pharyngitis is commonly seen in children, and the majority of cases are caused by viral infection. Group A streptococcus (GAS) is the only common bacterial cause for which antibiotic therapy is definitely indicated. With the weak differentiating power of clinical features between GAS and non-streptococcal causes, clinicians are encouraged to perform either throat culture or rapid antigen detection test for GAS confirmation before initiating antibiotic therapy if doubt exists. Based on latest literature and approved by The Working Group on The Development of Clinical Practice Guidelines of the Hong Kong College of Paediatricians, this practice recommendation is intended for use by paediatricians and primary care physicians for their evidence-based management of acute pharyngitis in children.


兒童經常出現急性咽炎,大部份為病毒感染所致。A組鏈球菌(GAS)是唯一常見的細菌源,是抗生素治療的明確指徵。GAS和非鏈球菌病因的臨床表現上的鑒別細微,在診斷有疑問時,建議臨床醫生在抗生素治療前進行喉部培養或GAS快速抗原檢測。根據最新文獻和香港兒科學院臨床治療指南擬定工作組認可,本治療建議擬用於兒科醫生和基層醫生對兒童急性咽炎的循證處理。

Keyword : Children; Management; Pharyngitis

關鍵詞:兒童、處理、咽炎


http://www.hkjpaed.org/details.asp?id=1014&show=125&artcount=F

  • wechatpng
  • Grey Facebook Icon

© 2018-2020 極致醫療集團