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  • Title: [Acute tonsillitis: clinical symptoms; bacteriologic culture and rapid test as deciding criteria for the use of antibiotics].
    Author: Raich T, Allerberger F, Sandholzer C, Kofler J, Arnold G, Moser G, Pittl L, Puri J, Schwaighofer G, Guggenbichler JP.
    Journal: Wien Klin Wochenschr; 1990 Feb 16; 102(4):111-4. PubMed ID: 2180211.
    Abstract:
    In order to prevent late sequelae from an untreated streptococcal pharyngitis all patients with streptococcal tonsillitis/pharyngitis have to be treated with antibiotics, preferably penicillin. A correct diagnosis by clinical criteria is only achievable in 72% of patients with streptococcal pharyngitis. Additional criteria such as diagnosis by culture are, therefore, mandatory. Time is a major disadvantage of traditional culture methods. Slide agglutination tests show an acceptable sensitivity of 92% and a specificity of 93%. Due to the possibility of false negative test results, with consequent withholding of adequate antimicrobial chemotherapy, these test results should be used only as a valuable guide. Decision to administer an antibiotic should still be based on clinical criteria.
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