Principles of Appropriate Antibiotic Use for Acute Pharyngitis in Adults

Position Papers20 March 2001Principles of Appropriate Antibiotic Use for Acute Pharyngitis in AdultsVincenza Snow, MD, Christel Mottur-Pilson, PhD, Richelle J. Cooper, MD, MSHS, and Jerome R. Hoffman, MD, MA, for the American College of Physicians–American Society of Internal Medicine*Vincenza Snow, MD, Christel Mottur-Pilson, PhD, Richelle J. Cooper, MD, MSHS, and Jerome R. Hoffman, MD, MA, for the American College of Physicians–American Society of Internal Medicine*Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-134-6-200103200-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In this guideline, we present the evidence and make specific recommendations on how clinicians can distinguish and diagnose pharyngitis caused by group A β-hemolytic streptococcus (GABHS). We also discuss when antibiotic use is beneficial and which antibiotics should be used. This guideline will not cover gonococcal pharyngitis and diphtheria, for which the appropriateness of immediate antibiotic treatment is well established. The numbers in square brackets are cross-references to the numbered sections in the accompanying background paper, "Principles of Appropriate Antibiotic Use for Acute Pharyngitis in Adults: Background," which is part 2 of this guideline (see pages 509-517).Acute PharyngitisAcute ... Author, Article, and Disclosure InformationAffiliations: *This paper, written by Vincenza Snow, MD, Christel Mottur-Pilson, PhD, Richelle J. Cooper, MD, MSHS, and Jerome R. Hoffman, MD, MA, was developed for the Clinical Efficacy Assessment Subcommittee: David C. Dale, MD (Chair); Patricia P. Barry, MD; William E. Golden, MD; Robert D. McCartney, MD; Keith W. Michl, MD; Allan R. Ronald, MD; Sean R. Tunis, MD; Kevin B. Weiss, MD; and Preston L. Winters, MD. Approved by the Board of Regents on 16 July 2000.Annals of Internal Medicine encourages readers to copy and distribute this paper, providing such distribution is not for profit. Commercial distribution is not permitted without the express permission of the publisher.Note: Clinical practice guidelines are "guides" only and may not apply to all patients and all clinical situations. Thus, they are not intended to override clinicians' clinical judgment. All clinical practice guidelines from the American College of Physicians–American Society of Internal Medicine are considered automatically withdrawn or invalid 5 years after publication or once an update has been issued.Grant Support: Dr. Cooper is supported in part by a National Research Service Award (F32 HS00134-01) from the Agency for Healthcare Research and Quality.Corresponding Author: Customer Service, American College of Physicians–American Society of Internal Medicine, 190 N. Independence Mall West, Philadelphia, PA 19106.Current Author Addresses: Drs. Snow and Mottur-Pilson: American College of Physicians–American Society of Internal Medicine, 190 N. Independence Mall West, Philadelphia, PA 19106.Drs. Cooper and Hoffman: Department of Emergency Medicine, University of California, Los Angeles, 924 Westwood Boulevard, Los Angeles, CA 90024. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAppropriate Use of Antibiotics: Pharyngitis Alan L. Bisno and Edward L. Kaplan Principles of Appropriate Antibiotic Use: Acute Pharyngitis Gene H. Stollerman Principles of Judicious Antibiotic Use: Acute Rhinosinusitis James R. 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