ACCURACY AND INTEROBSERVER VARIATION OF THREE CLINICAL DECISION RULES FOR THE DIAGNOSIS OF STREPTOCOCCAL PHARYNGITIS

• Published in: The Pediatric infectious disease journal Vol. 32; no. 6; pp. 686 - 687
• Main Authors: GONCALVES OROFINO, Dulce Helena, LAMBERT PASSOS, Sônia Regina, Ferreira DE ANDRADE, Carlos Augusto, NIGRI, Daniel, DOS SANTOS WERNECK, Lúcia, CARVALHAES DE OLIVEIRA, Raquel, MARQUES HÖKERBERG, Yara Hahr
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 01-06-2013
• Subjects: Adolescent; Bacterial arthritis and osteitis; Bacterial diseases; Biological and medical sciences; Child; Child, Preschool; Clinical Medicine - methods; Cross-Sectional Studies; Decision Support Techniques; Female; Human bacterial diseases; Humans; Infectious diseases; Male; Medical sciences; Observer Variation; Oropharynx - microbiology; Pharyngitis - diagnosis; Sensitivity and Specificity; Staphylococcal infections, streptococcal infections, pneumococcal infections; Streptococcal Infections - diagnosis; Streptococcus pyogenes - isolation & purification; Pediatrics; Diseases of the osteoarticular system; test reproducibility; validation study; Infection; Accuracy; Sensitivity; Specificity; Reproducibility; Streptococcal infection; Interindividual comparison; Bacteriosis; ENT disease; Pharynx disease; streptococcal pharyngitis; Diagnosis; Pharyngitis; Rheumatic fever
• ISSN: 0891-3668; 1532-0987
• DOI: 10.1097/INF.0b013e3182868b32

We evaluated the accuracy and interobserver variation of 3 clinical decision rules for streptoccocal pharyngitis diagnosis. Oropharyngeal swab culture was the reference. The Abu Reesh rule had the highest sensitivity and the World Health Organization rule showed the highest specificity. The interobserver variation of those rules indicates the need for better training of clinicians.