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RE: When you need antibiotic for sore throat ? (Centor criteria ) simple evidence based method.
Great criteria. It's saved me on more than a few that actually had strep throat. Love that criteria. Great informative post! It prevents the overuse of antibiotics but also lets you diagnose it when in doubt. Had one case where I doubted strep throat. No exudates and throat was not very red. But history of fever (no clinical fever), sore throat, and no cough. Decided to test it and have a little faith in CENTOR. Glad I did! Opposite is true. Might have a red throat but if there is a cough and no fever likely not!
Met too, easy way to decide if you will hit with Abx or not, agree with last point, i had same experience before
It is also important to relies that viral infection can exhaust immune system so Bacteria can kick in easily, in that case Staphylococcus aureusis the most superimpose infection post viral in respiratory tract, am not a fan of Antibiotics but if my symptom not improved in 2 days i add Abx.
Thank you for showing up @tfeldman
Good point in the outpatient setting sometimes docs will give an antibiotic script and tell the parent not to fill the prescription unless the child is sick for 2 more days (really good for ear infections)