What are the Choosing Wisely recommendations for the management of acute pharyngitis (sore throat) in children?

Updated: May 06, 2020
  • Author: John R Acerra, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

The Choosing Wisely medical initiative picked the top guidelines from the Italian Panel of the National Guidelines for the Management of Acute Pharyngitis in Children. The chosen recommendations are as follows [32] :

  • Blood exams should not be performed
  • Antibiotics should not be administrated unless microbiologic confirmation of streptococcal infection has been carried out
  • If a throat culture is performed, susceptibility tests on isolates should not be executed
  • The antibiotic course should not be shortened
  • Because penicillin V is not available in Italy, amoxicillin (50 mg/kg/d in 2-3 doses orally) for 10 days is the first choice treatment
  • Steroids should not be administered, to avoid masking a possible underlying severe condition

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