Accuracy and interobserver variation of three clinical decision rules for the diagnosis of streptococcal pharyngitis

Pediatr Infect Dis J. 2013 Jun;32(6):686-7. doi: 10.1097/INF.0b013e3182868b32.

Abstract

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.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Clinical Medicine / methods*
  • Cross-Sectional Studies
  • Decision Support Techniques*
  • Female
  • Humans
  • Male
  • Observer Variation
  • Oropharynx / microbiology
  • Pharyngitis / diagnosis*
  • Sensitivity and Specificity
  • Streptococcal Infections / diagnosis*
  • Streptococcus pyogenes / isolation & purification