Don’t administer steroids to children with acute pharyngitis.
The administration of steroids to children with acute pharyngitis may mask signs or symptoms of other possible associated diseases and could lead to a delay in diagnosis of medical conditions that, although rare, can be severe, such as lymphomas or other...
Don’t shorten antibiotic course in children with acute pharyngitis and microbiologic confirmation of streptococcal infection.
The recommended first choice antibiotic therapy is amoxicillin 50 mg/kg divided into 2-3 administrations for 10 days. Only a 10-day therapy is associated with effective reduction in the risk of rheumatic disease. Only in cases with poor compliance should intramuscular...
If throat culture is performed, susceptibility tests on isolates should not be executed in children with acute pharyngitis.
To date, streptococcal isolates are university sensitive to penicillin and amoxicillin. Susceptibility tests increase costs without providing benefits in terms of choice of antibiotic therapy.
Don’t administer antibiotics in children with acute pharyngitis unless microbiologic confirmation of streptococcal infection has been carried out.
Most pharyngitis cases are of viral origin and do not require antibiotic therapy. It is not possible to distinguish bacterial from viral infection only on a clinical basis. Therefore, a rapid test or throat culture is necessary to select children with streptococcal...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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