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  • Title: [Summary of the practice guideline 'Sore throat' (second revision) from the Dutch College of General Practitioners].
    Author: Starreveld JS, Zwart S, Boukes FS, Wiersma T, Goudswaard AN.
    Journal: Ned Tijdschr Geneeskd; 2008 Feb 23; 152(8):431-5. PubMed ID: 18361191.
    Abstract:
    The second version of the practice guideline 'Sore throat' has been updated from the 1999 version. --Infections of the throat generally cure spontaneously within 7 days. In most cases the sore throat is caused by a virus. Group A beta-haemolytic streptococci (GABHS) are the most important bacterial cause ofa sore throat. --In diagnostics, the main focus is placed on evaluating how sick the patient is in general. --In adolescents who have had a sore throat for more than 7 days, the possibility of mononucleosis infectiosa should be borne in mind. This diagnosis can be verified by a test for IgM against Epstein-Barr-virus. --Additional investigations to detect GABHS are not recommended. --Prescribing antibiotics is only recommended for patients who have a severe throat infection or an increased risk of complications. Pheneticillin or phenoxymethylpenicillin remains first choice. --Referral for tonsillectomy should meet the following criteria: 5 or more episodes of sore throat per year or 3 or more episodes per year in the last 2 years.
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