1Centro di documentazione sulla salute perinatale e riproduttiva - SaPeRiDoc, Servizio Assistenza Territoriale, Direzione generale sanità e politiche sociali e per l’integrazione; 2Area Rischio Infettivo, Agenzia Sanitaria e Sociale Regionale - Regione Emilia-Romagna, Bologna
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Key words: Guideline, Pharyngitis, Emilia-Romagna Region, Rapid antigen detection test (RADT), Amoxicillin, Cost-effectiveness analysis
This guideline on acute pharyngitis in childhood updates the guideline published by the Emilia-Romagna Region in 2007. Acute pharyngitis is a frequent condition in childhood, causing repeated clinical visits, emergency department visits, and inappropriate antibiotic prescribing. For the management of pharyngitis, it recommends the use of the McIsaac clinical score associated, in selected patients, with the rapid antigen detection test (RADT) and the prescription of amoxicillin when an antibiotic treatment is needed. Changes from 2007 guideline mainly refer to the diagnostic algorithm, simplified to achieve a wider implementation by health professionals. It confers a similar accuracy to the diagnostic process than the previous one but it is more cost-effective, as it results from the cost-effectiveness analysis. The guideline, based on the GRADE methodology, was developed by a multi-professional group of regional experts and externally revised.
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