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Clinical Pediatrics, Vol. 22, No. 9, 622-626 (1983)
DOI: 10.1177/000992288302200906

Applicability of a Scoring System in the Diagnosis of Streptococcal Pharyngitis

Janwyn L. Funamura

Division of Ambulatory Pediatrics, Department of Pediatrics, UCLA School of Medicine, Harbor-UCLA Medical Center, Torrance, California

Carol D. Berkowitz

Division of Ambulatory Pediatrics, Department of Pediatrics, UCLA School of Medicine, Harbor-UCLA Medical Center, Torrance, California

The usefulness of a scoring system, developed in a private pediatric practice, for the early diagnosis of streptococcal pharyngitis has been evaluated in a teaching hospital. The system, evaluated in 892 patients, appears most useful in predicting culture-negative patients (80%). A false positive rate of 20 per cent precludes the use of the scoring system in the decision to initiate antibiotic therapy at our institution.


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