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May 1977, Vol 131, No. 5 >
Article | May 1977

A Simple Scorecard for the Tentative Diagnosis of Streptococcal Pharyngitis FREE

Burtis B. Breese, MD
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Am J Dis Child. 1977;131(5):514-517. doi:10.1001/archpedi.1977.02120180028003.
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• More than 20,000 acute respiratory illnesses of children were studied by physicians in private practice to derive a nine-factor scorecard designed to estimate the probability that a given child's respiratory illness is caused by β-hemolytic streptococci. Each factor was assigned a weight on the basis of the percentage of positive cultures from patients exhibiting that factor. The sum of these individual scores gave the total score. The higher a patient's score, the more probable was a streptococcal infection. Thus, depending on the score, a reasonably accurate prediction of the probability of a streptococcal infection can be made. The accuracy of such predictions compared favorably with that of skilled physicians.

(Am J Dis Child 131:514-517, 1977)

REFERENCES

1 +
Breese BB, Disney FA:  The accuracy of diagnosis of β hemolytic streptococcal infections on clinical grounds . J Pediatr 44:670-673, 1954;.
2 +
Armen DP:  Unusual forms of streptococcal disease , in Wannamaker LW, Matsen JM (eds): Streptococci and Streptococcal Diseases . New York, Academic Press Inc, 1972;, p 552.
3 +
Apgar V:  A proposal for a new method of evaluation of the newborn infant . Curr Res Anesth Analg 32:260-267, 1953;.
4 +
Schneider WF, Chapman S, Shulz VB, et al:  Prevention of streptococcal pharyngitis among military personnel and their civilian dependents by mass prophylaxis . N Engl J Med 270:1205-1212, 1964;.
5 +
Randolph MF, Redys JJ, Hibbard EW:  Streptococcal pharyngitis: I Correlation of cultures with clinical criteria . Del Med J 42:29-34, 1970;.

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References

1 +
Breese BB, Disney FA:  The accuracy of diagnosis of β hemolytic streptococcal infections on clinical grounds . J Pediatr 44:670-673, 1954;.
2 +
Armen DP:  Unusual forms of streptococcal disease , in Wannamaker LW, Matsen JM (eds): Streptococci and Streptococcal Diseases . New York, Academic Press Inc, 1972;, p 552.
3 +
Apgar V:  A proposal for a new method of evaluation of the newborn infant . Curr Res Anesth Analg 32:260-267, 1953;.
4 +
Schneider WF, Chapman S, Shulz VB, et al:  Prevention of streptococcal pharyngitis among military personnel and their civilian dependents by mass prophylaxis . N Engl J Med 270:1205-1212, 1964;.
5 +
Randolph MF, Redys JJ, Hibbard EW:  Streptococcal pharyngitis: I Correlation of cultures with clinical criteria . Del Med J 42:29-34, 1970;.

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