id author title date pages extension mime words sentences flesch summary cache txt cord-317410-hc06yo32 Muthanna, Abdulrahman Clinical Screening Tools to Diagnose Group A Streptococcal Pharyngotonsillitis in Primary Care Clinics to Improve Prescribing Habits 2018-12-28 .txt text/plain 5426 311 42 However, a patient with a score of four should be tested by using rapid antigen detection test or throat culture, and empiric antibiotic therapy is required due to chance of streptococcal infection is high between 38% and 64% ( Figure 3 ) (61). To help physicians to prescribe the appropriate antibiotics for children and adults with streptococcus pharyngitis, Centres for Disease Control and Prevention (CDC), American Academy of Family Physicians (AAFP), and the Institute for Medical Research (IMR) have developed the clinical practice guidelines for respiratory tract infections (47, 64, 65) . According to the CDC, AAFP guidelines, and the National Antibiotic Guideline in Malaysia, antibiotics should be prescribed only to patients with group A streptococcal infection (Streptococcus pyogenes) which group A streptococcus usually cause symptoms including sore throat, fever more than 38 °C, exudates, nausea, vomiting, headache, stiff and swollen neck, abdominal pain, and tender enlarged cervical lymph nodes. ./cache/cord-317410-hc06yo32.txt ./txt/cord-317410-hc06yo32.txt