| 日 | 月 | 火 | 水 | 木 | 金 | 土 |
|---|---|---|---|---|---|---|
| 1 | ||||||
| 2 | 3 | 4 | 5 | 6 | 7 | 8 |
| 9 | 10 | 11 | 12 | 13 | 14 | 15 |
| 16 | 17 | 18 | 19 | 20 | 21 | 22 |
| 23 | 24 | 25 | 26 | 27 | 28 | 29 |
| 30 |
急性咽頭炎において、A群溶連菌（Streptococcus pyogenes, group A streptococcus: GAS）/A群β溶連菌（連鎖球菌）（Group A beta-hemolytic streptococcus (GABHS) ）感染を疑う臨床指標
[The Centor Criteria]
・Centor RM; Witherspoon JM; Dalton HP; Brody CE; Link K. The diagnosis of strep throat in adults in the emergency room. Med Decis Making 1981;1(3):239-46.
・Cooper RJ; Hoffman JR; Bartlett JG; Besser RE; Gonzales R; Hickner JM; Sande MA. Ann Intern Med 2001 Mar 20;134(6):509-17.
[The Centor criteria]
（１）Tonsillar exudates（扁桃の滲出物（白苔））
（２）Tender anterior cervical adenopathy
（圧痛のある前頚部リンパ節腫脹）
（３）Fever by history（発熱）
（４）Absence of cough（咳がない）
４項目中３項目以上あてはまること
[McIsaac Modification of the Centor Strep Score]
・McIsaac WJ, Goel V, To T, Low DE. The validity of a sore throat score in family practice. CMAJ 2000;163:811-5.
・http://www.aafp.org/afp/20010701/tips/2.html
症状・所見--------------------------------------------- 点数
(1) History of fever or
measured temperature >38°C ------------------- (1)
(2) Absence of cough------------------------------------(1)
(3) Tender anterior cervical adenopathy-------------(1)
(4) Tonsillar swelling or exudates---------------------(1)
(5) Age less than 15 years------------------------------(1)
(6) Age at least 45 years--------------------------------(-1)
加算ポイント------LR % with strep
-1 or 0------------0.05 1% (2/179)
1-------------------0.52 10% (13/134)
2-------------------0.95 17% (18/109)
3-------------------2.5 35% (28/81)
4 or 5-------------4.9 51% (39/77)
