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Consider corticosteroids for acute sore throat, says BMJ review

BMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j4333 (Published 21 September 2017) Cite this as: BMJ 2017;358:j4333
  1. Gareth Iacobucci
  1. The BMJ

The evidence is weak but points to the need for shared decision making, reports Gareth Iacobucci

This week The BMJ publishes the latest articles in its Rapid Recommendations series, which aims to accelerate evidence into practice and answer the questions that matter to clinicians quickly and transparently.

The latest review examines the evidence for the use of corticosteroids for treating sore throat, one of the commonest reasons for primary care appointments.1

International guidance on corticosteroids for sore throats varies, but a trial published in April 2017 indicated that they might be effective.2 After conducting a systematic review and meta-analysis that included data from the April trial,3 the Rapid Recommendation authors make a weak recommendation to use a single dose of oral corticosteroids in patients presenting with acute sore throat. The recommendation …

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