Sore throat (pharyngitis) is typically a viral infection. Patients should be informed, that pharyngitis is usually a mild, self-healing condition. Centor-score is recommended to direct microbiological diagnosis. Rapid test for Streprococcus A is recommended for those with 3 or more Centor-scores (fever over 38°C, swollen submandibular lymph nodes, tonsillar exudate and no cough). If antibiotic is indicated, penicillin is the preferred choice, whereas first generation cephalosporins are recommended for those with penicillin allergy or recurrent streptococcal pharyngitis. Adequate pain medication is important. In epidemic situation the diagnostic test is throat swab.
Pekka Honkanen (Chair)