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Diagnosis of acute tonsillopharyngitis in primary care: A new approach for low-resource settings

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dc.contributor.buuauthorAlper, Züleyha
dc.contributor.buuauthorUncu, Yeşim
dc.contributor.buuauthorAkalın, Halis
dc.contributor.buuauthorErcan, İlker
dc.contributor.buuauthorSınırtaş, Melda
dc.contributor.buuauthorBilgel, Nazan Gönül
dc.contributor.departmentTıp Fakültesi
dc.contributor.orcid0000-0002-8349-9868
dc.contributor.orcid0000-0002-5225-4403
dc.contributor.orcid0000-0002-5225-4403
dc.contributor.researcheridAAB-1694-2021
dc.contributor.researcheridAAU-8952-2020
dc.contributor.researcheridABE-2261-2020
dc.contributor.researcheridAAP-9210-2020
dc.contributor.researcheridD-9597-2016
dc.contributor.scopusid8580079400
dc.contributor.scopusid8892370600
dc.contributor.scopusid57207553671
dc.contributor.scopusid6603789069
dc.contributor.scopusid6505818048
dc.contributor.scopusid7801564702
dc.date.accessioned2022-10-14T07:54:43Z
dc.date.available2022-10-14T07:54:43Z
dc.date.issued2013-06
dc.description.abstractBackground: Diagnosing GABHS (Group A-beta Hemolytic Streptococcus) tonsillopharyngitis by clinical scoring is a recommended approach in developed countries, but there is still much controversy for low resource settings. Aim: We aimed to assess the impact of Centor criteria with the support of practical laboratory tests. Methods: We prospectively included patients complaining sore throat (N=5282). We evaluated them in terms of Centor scoring and performed white blood cell count (WBC), C-reactive protein (CRP), rapid antigen detecting test, and throat culture. Results: In GABHS cases (n=532, 11.3%), two of the criteria were observed to be positive in more than half of the cases (n=519, 59.3%), while 13 (40.7%) cases met three/four criteria. The specificity of having two criteria was found to be 65.5% and increased to 91.5% after including CRP and WBC. Conclusion: Centor criteria could be safely used to reduce unnecessary antibiotic usage for tonsillopharyngitis in developing countries.
dc.identifier.citationAlper, Z. vd. (2013). "Diagnosis of acute tonsillopharyngitis in primary care: A new approach for low-resource settings". Journal of Chemotherapy, 25(3), 148-155.
dc.identifier.endpage155
dc.identifier.issn1120-009X
dc.identifier.issn1973-9478
dc.identifier.issue3
dc.identifier.pubmed23783139
dc.identifier.scopus2-s2.0-84878190254
dc.identifier.startpage148
dc.identifier.urihttps://doi.org/10.1179/1973947813Y.0000000071
dc.identifier.urihttps://www.tandfonline.com/doi/full/10.1179/1973947813Y.0000000071
dc.identifier.urihttp://hdl.handle.net/11452/29098
dc.identifier.volume25
dc.identifier.wos000319500400003
dc.indexed.wosSCIE
dc.language.isoen
dc.publisherTaylor & Francis
dc.relation.bapBAP
dc.relation.journalJournal of Chemotherapy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectOncology
dc.subjectInfectious diseases
dc.subjectPathology
dc.subjectPharmacology & pharmacy
dc.subjectAcute tonsillopharyngitis
dc.subjectCentor scoring
dc.subjectCRP
dc.subjectPrimary care
dc.subjectRapid antigen detecting test
dc.subjectWBC
dc.subjectAntigen-detection test
dc.subjectStreptococcal pharyngitis
dc.subjectAntibiotic use
dc.subjectSore throat
dc.subjectManagement
dc.subjectStrep
dc.subjectValidation
dc.subjectGuidelines
dc.subjectAdults
dc.subjectPrediction
dc.subject.emtreeAmoxicillin
dc.subject.emtreeC reactive protein
dc.subject.emtreeErythromycin
dc.subject.emtreePenicillin V
dc.subject.emtreeAdolescent
dc.subject.emtreeAntigen detection
dc.subject.emtreeArticle
dc.subject.emtreeChild
dc.subject.emtreeDiagnostic test accuracy study
dc.subject.emtreeFemale
dc.subject.emtreeHuman
dc.subject.emtreeLeukocyte count
dc.subject.emtreeLeukocyte count
dc.subject.emtreeMajor clinical study
dc.subject.emtreeMale
dc.subject.emtreePharyngitis
dc.subject.emtreePredictive value
dc.subject.emtreePreschool child
dc.subject.emtreePrimary medical care
dc.subject.emtreeProspective study
dc.subject.emtreeQuestionnaire
dc.subject.emtreeReceiver operating characteristic
dc.subject.emtreeSchool child
dc.subject.emtreeSensitivity and specificity
dc.subject.emtreeSore throat
dc.subject.emtreeStreptococcus group A
dc.subject.emtreeThroat culture
dc.subject.emtreeTonsillopharyngitis
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshBacterial typing techniques
dc.subject.meshBiological markers
dc.subject.meshC-reactive protein
dc.subject.meshChild
dc.subject.meshCost control
dc.subject.meshDeveloping countries
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshInappropriate prescribing
dc.subject.meshLeukocyte count
dc.subject.meshMale
dc.subject.meshMiddle aged
dc.subject.meshPharyngitis
dc.subject.meshPhysical examination
dc.subject.meshPrimary health care
dc.subject.meshSensitivity and specificity
dc.subject.meshStreptococcal infections
dc.subject.meshStreptococcus pyogenes
dc.subject.meshTurkey
dc.subject.meshYoung adult
dc.subject.scopusSore Throat; Tonsillitis; Streptococcus
dc.subject.wosOncology
dc.subject.wosInfectious diseases
dc.subject.wosPathology
dc.subject.wosPharmacology & pharmacy
dc.titleDiagnosis of acute tonsillopharyngitis in primary care: A new approach for low-resource settings
dc.typeArticle
dc.wos.quartileQ4
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi
local.indexed.atScopus
local.indexed.atWOS

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