The purpose of this review is to summarize the current evidence regarding the management of streptococcal pharyngitis in children. This article aims to provide a valid support to discriminate streptococcal pharyngitis from viral cases and treat it appropriately to avoid the development of complications. Differential diagnosis based only on clinical features is not always easy. For this reason, different clinical scores were created to provide an accurate diagnosis. Microbiological tests are valuable tools as well, but their use is not recommended unanimously. Concerning treatment, all guidelines agree on the drug to be used. However, doubts remain about the optimal duration of antibiotic therapy, especially in this specific historical moment as we are experiencing a peak in streptococcal infections. [Pediatr Ann. 2024;53(6):e234-e238.].

中文翻译：

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儿童 A 族链球菌性咽炎的诊断和治疗。


本综述的目的是总结有关儿童链球菌性咽炎治疗的当前证据。本文旨在为区分链球菌性咽炎和病毒性咽炎并进行适当治疗以避免并发症的发生提供有效支持。仅根据临床特征进行鉴别诊断并不总是容易的。因此，创建了不同的临床评分以提供准确的诊断。微生物测试也是有价值的工具，但并未一致推荐使用它们。关于治疗，所有指南都同意使用的药物。然而，对于抗生素治疗的最佳持续时间仍然存在疑问，特别是在这个特定的历史时刻，因为我们正在经历链球菌感染的高峰。 [小儿安。 2024；53(6):e234-e238。]。