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Home Research Research Library Streptococcal diagnostic testing and antibiotics prescribed for pediatric tonsillopharyngitis Streptococcal diagnostic testing and antibiotics prescribed for pediatric tonsillopharyngitis 1996 Author(s) Mainous, Arch G, Zoorob, R J, Kohrs, F P, and Hagen, Michael D Topic(s) Achieving Health System Goals, and Role of Primary Care Keyword(s) Quality Of Care Volume 15(9):806-810 Source Pediatric Infectious Disease Journal BACKGROUND: This study examined a 1-year cross-sectional sample of Kentucky Medicaid claims for the use of streptococcal diagnostic tests for pediatric tonsillopharyngitis and the empiric use of antibiotics. METHODS: Subjects were individuals older than 3 and younger than 18 years old seen in an ambulatory setting for tonsillopharyngitis; 3478 individuals accounted for the 5067 separate outpatient and emergency room encounters for pediatric tonsillopharyngitis; 849 encounters coded as streptococcal sore throat were also examined. RESULTS: Diagnostic tests for group A streptococcal tonsillopharyngitis were performed in only 22% (n = 1130) of the tonsillopharyngitis encounters and 36% (n = 306) of the streptococcal sore throat encounters. Urban physicians were more likely than rural physicians to use a diagnostic test (P = 0.0001). Emergency room encounters and outpatient encounters were not significantly different in the likelihood of having a diagnostic test (P = 0.16). In encounters for tonsillopharyngitis antibiotics were prescribed in 72% of the total encounters and in 73% of the encounters without a diagnostic streptococcal test. In encounters for streptococcal sore throat, antibiotics were prescribed for 68% of the total encounters and 69% of the encounters without a diagnostic streptococcal test. CONCLUSIONS: Current practices in the Kentucky Medicaid program do not follow the American Academy of Pediatrics guidelines for streptococcal tonsillopharyngitis. Read More ABFM Research Read all 2013 Unequal Distribution of the U.S. Primary Care Workforce Go to Unequal Distribution of the U.S. Primary Care Workforce 2012 ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky Go to ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky 2020 Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children Go to Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children 2022 Racial/Ethnic Representation Among American Board of Family Medicine Certification Candidates from 1970 to 2020 Go to Racial/Ethnic Representation Among American Board of Family Medicine Certification Candidates from 1970 to 2020
Author(s) Mainous, Arch G, Zoorob, R J, Kohrs, F P, and Hagen, Michael D Topic(s) Achieving Health System Goals, and Role of Primary Care Keyword(s) Quality Of Care Volume 15(9):806-810 Source Pediatric Infectious Disease Journal
ABFM Research Read all 2013 Unequal Distribution of the U.S. Primary Care Workforce Go to Unequal Distribution of the U.S. Primary Care Workforce 2012 ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky Go to ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky 2020 Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children Go to Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children 2022 Racial/Ethnic Representation Among American Board of Family Medicine Certification Candidates from 1970 to 2020 Go to Racial/Ethnic Representation Among American Board of Family Medicine Certification Candidates from 1970 to 2020
2013 Unequal Distribution of the U.S. Primary Care Workforce Go to Unequal Distribution of the U.S. Primary Care Workforce
2012 ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky Go to ABFM Examination Asthma Item Performance and Asthma Prevention Quality Indicators in Kentucky
2020 Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children Go to Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-Income Children
2022 Racial/Ethnic Representation Among American Board of Family Medicine Certification Candidates from 1970 to 2020 Go to Racial/Ethnic Representation Among American Board of Family Medicine Certification Candidates from 1970 to 2020