A군 연쇄구균 인두염의 진단 및 항생제 사용 여부 결정에서 Centor Score의 유용성 (Usefulness of Centor Score to Diagnosis of Group a Streptococcal Pharyngitis and Decision Making of Antibiotics Use)

서지정보

· 발행기관 : 대한이비인후과학회
· 수록지 정보 : 대한이비인후-두경부외과학회지 / 61권 / 1호 / 35 ~ 41페이지
· 저자명 : 이혜란, 김정태, 이재용, 신재민, 김재욱, 이병돈, 황규린

초록

Background and Objectives This study aims to verify the usefulness of Centor scores to diagnose the Group A Streptococcal pharyngitis.
Subjects and Method The subjects of this study were 379 patients who had been examined by the rapid antigen detection test (RADT) for Group A Streptococcus. We analyzed their medical records and laboratory test results retrospectively and compared the results of Centor symptom scores with those of RADT. Then we analyzed the association of RADT, the Centor score and the laboratory test results statistically.
Results There were no correlation between the RADT results and fever, cough, tonsillar enlargement, nasal symptoms, myalgia or chilling (p＞0.05). In the RADT positive group, there were more patients with tonsillar exudate, neck lymph node enlargement, tenderness and pharyngeal abscess formation significantly (p＜0.05). The Centor score and C-reactive protein were significantly higher in the RADT positive group (p＜0.05).
Conclusion The results of this study suggest that Centor symptom scores can be used to determine which antibiotics to use. The Centor score system can help reduce medical costs and detect the problematic Group A Streptococcal pharyngitis.
Korean J Otorhinolaryngol-Head Neck Surg 2018;61(1):35-41

영어초록

Background and Objectives This study aims to verify the usefulness of Centor scores to diagnose the Group A Streptococcal pharyngitis.
Subjects and Method The subjects of this study were 379 patients who had been examined by the rapid antigen detection test (RADT) for Group A Streptococcus. We analyzed their medical records and laboratory test results retrospectively and compared the results of Centor symptom scores with those of RADT. Then we analyzed the association of RADT, the Centor score and the laboratory test results statistically.
Results There were no correlation between the RADT results and fever, cough, tonsillar enlargement, nasal symptoms, myalgia or chilling (p＞0.05). In the RADT positive group, there were more patients with tonsillar exudate, neck lymph node enlargement, tenderness and pharyngeal abscess formation significantly (p＜0.05). The Centor score and C-reactive protein were significantly higher in the RADT positive group (p＜0.05).
Conclusion The results of this study suggest that Centor symptom scores can be used to determine which antibiotics to use. The Centor score system can help reduce medical costs and detect the problematic Group A Streptococcal pharyngitis.
Korean J Otorhinolaryngol-Head Neck Surg 2018;61(1):35-41

참고자료

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