Letters Antibiotic use for sore throats

Lower threshold for rapid antigen detection testing in patients with sore throats would reduce antibiotic use

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f7055 (Published 28 November 2013) Cite this as: BMJ 2013;347:f7055
  1. Lars Bjerrum, GP and professor in general practice1,
  2. Gloria Cristina Cordoba Currea, public health doctor1,
  3. Carlos Llor, GP and associate professor2,
  4. Morten Lindbæk, GP and professor in general practice3
  1. 1Section and Research Unit of General Practice, Department of Public Health, Copenhagen University, DK-1014 Copenhagen K, Denmark
  2. 2Primary Care Centre Jaume I, University Rovira i Virgili, 43005 Tarragona, Spain
  3. 3Department of General Practice, Institute of Health and Society, Oslo University, 0317 Oslo, Norway
  1. lbjerrum{at}sund.ku.dk

Little and colleagues focus on the impact of different management strategies for acute pharyngitis on recovery time and use of antibiotics.1 Acute tonsillitis is one of the most common infections that GPs have to deal with. This study shows that clinical features other than Centor criteria can help determine the presence of group A streptococci and the effect of antibiotics. Short duration of illness seems to be important.

The study does have limitations however. Recruitment was low—only 697 …

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