If I were writing sore throat guidelines

Several tweets asked me to answer this question. How would I rewrite sore throat guidelines? Obviously I am biased. So this is my opinion and I am sticking to it! I would not change anything about pre-adolescents. Group A strep is the most important bacterial infection and using rapid tests with backup cultures makes sense.I would change the guidelines for adolescents and young adults. I would treat patients having Centor scores of 3 or 4 with either penicillin or amoxicillin (augmentin would be fine). I would probably treat some 2s if they looked very ill. I would never use macrolides. If the patient is truly penicillin allergic and looked sick then I would use clindamycin.I would have a printed sheet for all adolescent/young adults. I will do a mockup of that sheet in the next paragra...

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2Ro3X4l