Created at 11:51 a.m. May, 15, 2025
Author:
neddavid
Type of change:
Content error
Rationale for change
i think what the card is referring to is the modified centor score (McIsaac) which IS applicable to children as young as 3yo
correct me if i'm wrong and it's just the US using a different definition for these scores.
i know that the suggestion rules only allow for american medschool resources to be cited, but since i am not in the US and only use german AMBOSS, ill point to mdcalc and the sources it uses:
i believe this is wrong and should be corrected
https://www.mdcalc.com/calc/104/centor-score-modified-mcisaac-strep-pharyngitis
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- In children, CENTOR is unreliable; must get a (+) rapid or culture before starting treatment!
Interpretation:
Score ≤ 1: no further diagnostic testing needed
Score 2-3: Consider rapid strep test and/or throat culture.
Score ≥ 4: Consider empiric antibiotic therapy (controversial)
- A rapid antigen test cannot be used to distinguish between GAS infection and carriers. Thus, the judicious use of a rapid antigen test for patients with a score ≥ 2 prevents the unnecessary treatment of GAS carriers.
- Even with a CENTOR score ≥ 4, empiric antibiotics without confirmatory testing are not routinely recommended as the risk of acute rheumatic fever is not high enough compared to risk of inappropriate antibiotic therapy
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