Diagnosis and Treatment of Respiratory Illness in Children and Adults. Pharyngitis Algorithm.

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Source: Institute for Clinical Systems Improvement (ICSI). Diagnosis and treatment of respiratory illness in children and adults. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jan. 71 p. Diagnosis and Treatment of Respiratory Illness in Children and Adults Pharyngitis Algorithm Patient has symptoms suggestive of pharyngitis. A A = Annotation History/physical. A Collect specimen for rapid strep test and backup culture. A Treatment: Penicillin is the drug of choice. Rapid stress test result? Treatment and education. A Commonly prescribed antibiotics not reliably antistreptococcal: 1. Sulfa medications (Septra, Bactrim, Gantrisin). 2. Nitrofurantion (Macrodantin). 3. Tetracycline. Education for home remedies. A Consider strep culture. A Symptoms improved within 48-72 hours? A Complete treatment. A Strep culture result? A Consider re-evaluation *Broad spectrum culture. *Mono testing, if appropriate. *Empirical antibiotic therapy. A Educate on non-GABS pharyngitis symptoms. A Systems improved? A Continue with home care. A Consider re-evaluation *Broad spectrum culture. *Mono testing, if appropriate. A All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.