DIAGNOSIS DAN TATALAKSANA FARINGITIS STREPTOCOCCUS GROUP A

  • De Luh Pratiwi Angganing Lestari Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa
  • Ni Putu Satya Deva Jayanti Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa
  • Tri Wisananda Putra Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa
  • Putu Utari Fridayanthi Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa
  • I Gede Ketut Deny Patmantha Putra Tjahyadi Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa
  • Luh Gde Sita Maharani Program Studi Kedokteran, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa
  • Putu Nita Cahyawati Departemen Farmakologi dan Farmasi, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa
Keywords: acute pharyngitis, group A Streptococcus pharyngitis, throat swab, rapid antigen detection test

Abstract

Pharyngitis is an infection that occurs in the pharynx due to bacterial or viral infection. The bacteria that most often causes pharyngitis is group A Streptococcus. The method used in writing this article is a narrative review. The results of the literature review found information that in diagnosing pharyngitis caused by group A streptococcus bacteria there are several recommendations. Ideally, a rapid antigen detection test (RADT) and/or a throat culture (throat swab) should be performed. The Centor Score is another method that can be used to determine the cause of pharyngitis. This method is an initial assessment to assist doctors in identifying group A Streptococcus as the cause of pharyngitis based on clinical symptoms that occur in patients. The Centor Score is generally intended for assessment in adult patients. Meanwhile, for children, the McIsaac Score can be used. In addition to the scoring system, there is another alternative scoring system that can be used, namely FeverPAIN. Antibiotics should be given if the patient is confirmed to be infected with bacteria. Antibiotics are generally given for 10 days. Penicillin or amoxicillin are recommended as drugs of choice for patients who do not have a history of allergy to these drugs. This choice was based on price, narrow spectrum, and effectiveness. Based on these results, it can be concluded that a definite diagnosis of group A streptococcus infection can be made through a rapid antigen detection test and/or throat culture. Alternative scoring systems that can be used in clinical practice are Centor Score, McIsaac Score, and FeverPAIN. Penicillin or amoxicillin are recommended as drugs of choice for patients without a history of allergies.

References

Shulman ST, Bisno AL, Clegg HW, et al. Clinical Practice Guideline For The Diagnosis And Management Of Group A Streptococcal Pharyngitis: 2012 Update By The Infectious Diseases Society Of America. Clin Infect Dis. 2012;55(10):86-102. doi:10.1093/cid/cis629

Danchin MH, Rogers S, Kelpie L, et al. Burden of acute sore throat and group A streptococcal pharyngitis in school-aged children and their families in Australia. Pediatrics. 2007;120(5):950-957. doi:10.1542/peds.2006-3368

Dewi AAS, Noviyani R, Niruri R, Suherman FS, Triyasa IP. Determining of pharyngitis caused by Streptococcus group A in pediatrics using Mclsaac score and Rapid Antigen Detection Test (RADT) as consideration on using antibiotic wisely. J Biol. 2013;17(1):6-9.

Chan AMW, Au WWY, Chao DVK, et al. Antibiotic Management Of Acute Pharyngitis In Primary Care. Hong Kong Med J. 2019;25(1):58-63. doi:10.12809/hkmj187544

Dhrik M, Putra Riana Prasetya AAN, Erri Errawan GAP. Pola Penggunaan Obat Pada Pasien Faringitis Dewasa di Praktek Dokter Bersama Apotek Kimia Farma Teuku Umar. Act Holis Pharm. 2021;3.

Sidharti L, Pemula G, Lisiswanti R, Soleha TU. Kesesuaian Peresepan Penyakit Faringitis Akut terhadap Standar Pengobatan di Puskesmas Rawat Inap Simpur Bandar Lampung Tahun 2013. J Agromedicine. 2015;2(3):196-202.

Choby BA. Diagnosis and treatment of streptococcal pharyngitis. Am Fam Physician. 2009;79(5):383-390. doi:10.1001/jama.254.7.907

Cots JM, Alós J-I, Bárcena M, et al. Recommendations for Management of Acute Pharyngitis in Adults. Acta Otorrinolaringol (English Ed. 2015;66(3):159-170. doi:10.1016/j.otoeng.2015.05.003

A.A. Agustia Sinta Dewi, Rini Noviyanti, Rasmaya Niruri, F.S. Suherman IPT. Penentuan Streptococcus Group A Penyebab Faringitis Pada Anak Menggunakan Mcisaac Score Dan Rapid Antigen Detection Test ( RADT ) Dalam Upaya Penggunaan Antibiotika Secara Bijak. J Biol. 2013;XVI(1):6-9.

Thillaivanam S, Amin AM, Gopalakrishnan S, Ibrahim B. The effectiveness of the McIsaac clinical decision rule in the management of sore throat: An evaluation from a pediatrics ward. Pediatr Res. 2016;80(4):516-520. doi:10.1038/pr.2016.113

Published
2022-10-10
Section
Articles
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