Sore Throat
PostedThis is my first post ever in this beloved blog.. (please pardon my English if it makes u nauseated..haha as awie said, we must improve, so I'm improving by writing)
I'm having a sore throat and so do a few other friends. Maybe it's endemic now.. Having a sore throat is so distressing...But it reminds me about McIsaac criteria which I learned during PCM posting. So, lets revised it together here...(adapted from AAFP)
McIsaac Modification of the Centor Strep Score
1)History of fever or measured temperature >38°C (100.4°F)--> 1 point
2)Absence of cough--> 1 point
3)Tender anterior cervical lymphadenopathy --> 1
4)Tonsillar swelling or exudates--> 1
5)Age less than 15 years--> 1
3 or more require antibiotic...
(I have none of above. So it just a viral infection. I just have to be patient and wait for the viruses to get bored with my throat which usually takes about a week---Hoho an easily bored fellow! Thank God.)
Now, the questions are:
1) what are antibiotic choices we have to prescribe?
2) how much is the dose and how long is the course?
Let me try:
If the score is more than 3 and we r suspecting a bacterial infection, the most appropriate antibiotic is Penicillin since the most common pathogen involved is Strep. Pyogenes.
But if the patient is allergic to penicillin, we can resort to Erythromycin.
The dosage is difficult. The adult dosage for penicillin is 500 mg bd for 10 days.
Betol ker? Meh la kwn2 smua try jawab! Then, later myia can disclose the answer
this is DR K.K Ng's favourite question.my answer is similar like awie...we give the antibiotic for 10 days to prevent acute rheumatic fever and suppurative complications..
for the paediatric age group,we need to measure their weight 1st and then we can calculate it based on their body weight...
am i rite?
betul kot semua tu...
but for mia,just gargle ur throat with air suam + garam,it is just a best natural antiseptic,it works for me for 10 years history of sorethroat..before it turn to become suppurative n wake up with everyday early morning fever for 3 months..that when indication for tonsillectomy for me.
ramai jgk ek yg kena sore throat, aku pn baru je kena mggu lepas... mmg betul2 epidemic sekarang ni..
aku sampai terpaksa ponteng 2 hari, mmg rugi betul x datang kelas..
sama2 la kita berdoa agar kita x jatuh sakit masa nak dekat PRO 3 nnt - naya wooo...
gosh, baru kena ni...