| Autor: |
Débora Morais, Cardoso, Alfredo Elias, Gilio, Shieh Huei, Hsin, Beatriz Marcondes, Machado, Milena, de Paulis, João Paulo B, Lotufo, Marina Baquerizo, Martinez, Sandra Josefina E, Grisi |
| Rok vydání: |
2012 |
| Předmět: |
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| Zdroj: |
Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo. 31(1) |
| ISSN: |
1984-0462 |
| Popis: |
To evaluate the impact of the routine use of rapid antigen detection test in the diagnosis and treatment of acute pharyngotonsillitis in children.This is a prospective and observational study, with a protocol compliance design established at the Emergency Unit of the University Hospital of Universidade de São Paulo for the care of children and adolescents diagnosed with acute pharyngitis.650 children and adolescents were enrolled. Based on clinical findings, antibiotics would be prescribed for 389 patients (59.8%); using the rapid antigen detection test, they were prescribed for 286 patients (44.0%). Among the 261 children who would not have received antibiotics based on the clinical evaluation, 111 (42.5%) had positive rapid antigen detection test. The diagnosis based only on clinical evaluation showed 61.1% sensitivity, 47.7% specificity, 44.9% positive predictive value, and 57.5% negative predictive value.The clinical diagnosis of streptococcal pharyngotonsillitis had low sensitivity and specificity. The routine use of rapid antigen detection test led to the reduction of antibiotic use and the identification of a risk group for complications of streptococcal infection, since 42.5% positive rapid antigen detection test patients would not have received antibiotics based only on clinical diagnosis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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