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2020-09-25
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ACCURACY AND INTEROBSERVER VARIATION OF THREE CLINICAL DECISION RULES FOR THE DIAGNOSIS OF STREPTOCOCCAL PHARYNGITIS
Orofino, Dulce Helena Gonçalves et al. | Date Issued: 2013
Author
Orofino, Dulce Helena Gonçalves
Passos, Sônia Regina Lambert
Andrade, Carlos Augusto Ferreira de
Nigri, Daniel
Werneck, Lúcia dos Santos
Oliveira, Raquel Carvalhaes de
Hökerberg, Yara Hahr Marques
Affilliation
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Laboratório de Epidemiologia Clínica. Rio de Janeiro, RJ, Brasil / Souza Marques Medical School. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Laboratório de Epidemiologia Clínica. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Laboratório de Epidemiologia Clínica. Rio de Janeiro, RJ, Brasil.
Souza Marques Medical School. Rio de Janeiro, RJ, Brasil.
Prontobaby Hospital. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Laboratório de Epidemiologia Clínica. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Laboratório de Epidemiologia Clínica. Rio de Janeiro, RJ, Brasil.
Abstract
We evaluated the accuracy and interobserver variation of 3 clinical decision rules for streptoccocal pharyngitis diagnosis. Oropharyngeal swab culture was the reference. The Abu Reesh rule had the highest sensitivity and the World Health Organization rule showed the highest specificity. The interobserver variation of those rules indicates the need for better training of clinicians.
Keywords
Validation study
Sensitivity
Specificity
Test reproducibility
Streptococcal pharyngitis
Rheumatic fever
 
Publisher
Lippincott, Williams & Wilkins
Citation
OROFINO, Dulce Helena Gonçalves et al. Accuracy and interobserver variation of three clinical decision rules for the diagnosis of streptococcal pharyngitis. Pediatric Infectious Disease Journal, v. 32, n. 6, p. 686-687, 2013.
DOI
10.1097/INF.0b013e3182868b32
ISSN
0891-3668