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Pediatric Infectious Disease Journal:
doi: 10.1097/INF.0b013e3182868b32
Brief Reports

Accuracy and Interobserver Variation of Three Clinical Decision Rules for the Diagnosis of Streptococcal Pharyngitis

Orofino, Dulce Helena Gonçalves MSc*†; Passos, Sônia Regina Lambert PhD*; de Andrade, Carlos Augusto Ferreira PhD*; Nigri, Daniel MD; dos Santos Werneck, Lúcia BS; de Oliveira, Raquel Carvalhaes PhD*; Hökerberg, Yara Hahr Marques PhD*

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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.

© 2013 Lippincott Williams & Wilkins, Inc.


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