Differences among international pharyngitis guidelines: Not just academic
Differences among international pharyngitis guidelines: Not just academic
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DOI：
10.1370/afm.741
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发表时间：
2007-09-01
影响因子：
4.4
通讯作者：
De Sutter, An
中科院分区：
文献类型：
--
作者：
Matthys, Jan;De Meyere, Marc;De Sutter, An
许多国家都有关于咽炎治疗的国家指南。我们想比较的建议和报告的证据，在国家指南的管理急性咽喉痛在adult.METHODS指南检索通过MEDLINE和EMBASE，并通过基于Web的搜索指南开发组织。内容的建议和基本证据进行了分析与定性和文献计量学的方法。结果，我们包括4个北美和6个欧洲的指南。关于快速抗原检测和咽喉培养的使用以及抗生素的适应症，建议有所不同。北美、法国和芬兰的指南认为A组链球菌的诊断是必不可少的，预防急性风湿热仍然是开抗生素的重要原因。在6个欧洲指南中的4个中，急性咽喉痛被认为是一种自限性疾病，不推荐使用抗生素。在北美和欧洲，用于支持这些指南的证据是不同的。与欧洲指南相比，北美指南引用了更多的北美参考文献（87.2%对48.0%; ods比率，4.6-11.9; P
PURPOSE Many countries have national guidelines for the treatment of pharyngitis. We wanted to compare the recommendations and the reported evidence in national guidelines for the management of acute sore throat in adults.METHODS Guidelines were retrieved via MEDLINE and EMBASE and through a Web-based search for guideline development organizations. The content of the recommendations and the underlying evidence were analyzed with qualitative and bibliometric methods.RESULTS We included 4 North American and 6 European guidelines. Recommendations differ with regard to the use of a rapid antigen test and throat culture and with the indication for antibiotics. The North American, French, and Finnish guidelines consider diagnosis of group A streptococcus essential, and prevention of acute rheumatic fever remains an important reason to prescribe antibiotics. In 4 of the 6 European guidelines, acute sore throat is considered a self-limiting disease and antibiotics are not recommended. The evidence used to underpin these guidelines was different in North America and Europe. North American guidelines cited more North American references than did European guidelines (87.2% vs 48.0%; ods ratio, 4.6-11.9; P