{"id":2530,"date":"2009-03-05T11:42:36","date_gmt":"2009-03-05T11:42:36","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/infap\/"},"modified":"2025-05-14T19:10:55","modified_gmt":"2025-05-14T19:10:55","slug":"infap","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/infap\/","title":{"rendered":"Criterios Diagn\u00f3stico para Faringitis Aguda"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<p style=\"font-weight: 400;\"><strong>Adultos<\/strong><\/p>\n<p style=\"font-weight: 400;\">Cuadro cl\u00ednico sospechoso de faringitis estreptoc\u00f3cica (como fiebre,\u00a0hinchaz\u00f3n amigdalina, exudado, linfadenomegalia cervical anterior o ganglios dolorosos en esa zona, ausencia de tos o coriza)\u00a0<em>con<\/em><\/p>\n<ul style=\"font-weight: 400;\">\n<li>Historia de fiebre reum\u00e1tica\u00a0<em>o<\/em><\/li>\n<li>Exposici\u00f3n intrafamiliar documentada\u00a0<em>o<\/em><\/li>\n<li>Positividad de prueba de \u201ccribado\u201d r\u00e1pido en busca de estreptococos<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p style=\"font-weight: 400;\"><strong>Ni\u00f1os<\/strong><\/p>\n<p style=\"font-weight: 400;\">Cuadro cl\u00ednico sospechoso de faringitis estreptoc\u00f3cica (como hinchaz\u00f3n amigdalina, exudado, linfadenomegalia cervical anterior o ganglios dolorosos en esa zona, ausencia de coriza)\u00a0<em>con<\/em><\/p>\n<ul style=\"font-weight: 400;\">\n<li>Historia de fiebre reum\u00e1tica\u00a0<em>o<\/em><\/li>\n<li>Exposici\u00f3n intrafamiliar documentada\u00a0<em>o<\/em><\/li>\n<li>Positividad de prueba de \u201ccribado\u201d r\u00e1pido en busca de estreptococos<em>\u00a0o<\/em><\/li>\n<li>Positividad del cultivo de material far\u00edngeo (exudado) (para aquellos pacientes con prueba de \u201ccribado\u201d r\u00e1pido negativo)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Score de Faringitis Estreptoc\u00f3ccica<\/strong><\/p>\n<p style=\"font-weight: 400;\"><strong>(Score\u00a0de Dolor de Garganta)<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><em>S\u00edntomas<\/em><\/td>\n<td style=\"text-align: center;\"><em>Puntos<\/em><\/td>\n<\/tr>\n<tr>\n<td>Fiebre (subjetiva o medida en consultorio)<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Ausencia de tos<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Adenopat\u00eda cervical anterior dolorosa<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Exudados o inflamaci\u00f3n amigdalina<\/td>\n<td style=\"text-align: center;\">1<\/td>\n<\/tr>\n<tr>\n<td>Edad<br \/>\nMenor de 15 a\u00f1os<br \/>\n15 a 45 a\u00f1os<br \/>\nMayor de 45 a\u00f1os<\/td>\n<td style=\"text-align: center;\">\n+1<br \/>\n0<br \/>\n-1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">Puntuaci\u00f3n:<\/p>\n<ul style=\"font-weight: 400;\">\n<li><em>0 o\u00a0<\/em><strong>&#8211;<\/strong><em>1 puntos: infecci\u00f3n estreptoc\u00f3cica descartada (2 porciento);<\/em><\/li>\n<li><em>1 a 3 puntos: solicitar test r\u00e1pido y realizar tratamiento de acuerdo al resultado del mismo;<\/em><\/li>\n<li><em>4 a 5 puntos: probable infecci\u00f3n estreptoc\u00f3cica (52 porciento), considerar tratamiento con antibi\u00f3ticos en forma emp\u00edrica.<\/em><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Vincent MT, Celestin N, Hussain AN. Pharyngitis. Am Fam Physician. 2004 Mar 15;69(6):1465-70.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15053411\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>McIsaac WJ, Goel V, To T, Low DE. The validity of a sore throat score in family practice. CMAJ. 2000 Oct 3;163(7):811-5.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11033707\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Neuner JM, Hamel MB, Phillips RS, Bona K, Aronson MD. Diagnosis and management of adults with pharyngitis. A cost-effectiveness analysis. Ann Intern Med. 2003 Jul 15;139(2):113-22.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12859161\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Feb 21, 2005<\/p>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Adultos Cuadro cl\u00ednico sospechoso de faringitis estreptoc\u00f3cica (como fiebre,\u00a0hinchaz\u00f3n amigdalina, exudado, linfadenomegalia cervical anterior o ganglios dolorosos en esa zona, ausencia de tos o coriza)\u00a0con Historia de fiebre reum\u00e1tica\u00a0o Exposici\u00f3n intrafamiliar documentada\u00a0o Positividad de prueba de \u201ccribado\u201d r\u00e1pido en busca de estreptococos<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[39],"tags":[231,230,16,15,14,13,1624,1344,1623,1625],"class_list":["post-2530","post","type-post","status-publish","format-standard","hentry","category-infetious-disease","tag-acute","tag-aguda","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-faringitis","tag-infectious","tag-orl","tag-pharyngitis"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2530","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2530"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2530\/revisions"}],"predecessor-version":[{"id":9420,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2530\/revisions\/9420"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2530"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2530"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2530"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}