Intended for healthcare professionals

Letters Sore throat in primary care

There are still problems in identifying who will develop complications of sore throat in primary care

BMJ 2014; 348 doi: (Published 21 January 2014) Cite this as: BMJ 2014;348:g299
  1. Jan Matthys, general practitioner, lecturer in general practice1
  1. 1University of Ghent, University Hospital, 1K6, 9000 Ghent, Belgium
  1. jan.matthys{at}

In Little and colleagues’ study of the predictors of suppurative complications for acute sore throat in primary care, “complicated illness” was an exclusion criterion.1 Indeed, in guidelines from the Netherlands and Belgium,2 antibiotics are recommended only in very ill and high risk patients (immunocompromised), who comprise about 5% of patients with sore throat in general practice. I …

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