Management of Pharyngitis Acute

Abstract

Background: The management of acute pharyngitis, particularly in distinguishing between viral and bacterial etiologies, has evolved significantly over the past two decades, reflecting a growing emphasis on responsible antibiotic use. The literature reveals a spectrum of perspectives on diagnosis, treatment, and the implications of antibiotic resistance. Literature Review: (Bejzman Piltcher et al., 2018) emphasized the complexities of managing pharyngotonsillitis in the context of increasing antimicrobial resistance, advocating for expert consensus and evidence-based guidelines. (Behnamfar et al., 2019) introduced a cost-effectiveness analysis, suggesting that a strategy involving rapid testing followed by culturing is the most effective for treating pharyngitis, countering blanket approaches. (J Hoban & Nauta, 2019) contributed to the discussion by emphasizing the limited efficacy of antibiotics in symptom resolution while underscoring the importance of accurate diagnosis to prevent long-term complications. (Engell Holm et al., 2020) conducted a systematic review comparing short- versus long-course antibiotic treatments, affirming the necessity of a 10-day course of penicillin V as the first-line treatment while addressing the urgent need to optimize antibiotic use. (L Robinson, 2021) synthesized recent literature advocating for a nuanced approach to pharyngitis management amidst growing resistance, underscoring the need for continuous research and adaptation of clinical practices. (Le Marechal et al., 2013) reinforced these observations by illustrating the rarity of complications from GABHS in industrialized nations, advocating for improved diagnostic practices such as rapid diagnostic tests (RDTs) and clinical decision rules (CDRs) to optimize antibiotic prescriptions. Conclusion: In conclusion, the literature collectively emphasizes the critical balance between effective treatment of acute pharyngitis and the imperative of responsible antibiotic use. Accurate diagnostic practices, adherence to guidelines, and a focus on antibiotic stewardship are paramount in managing this common condition, particularly in light of the evolving landscape of antimicrobial resistance.