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ACUTE SORE THROAT IN ADULTS

Abdulaziz Mohammed Omer , Wejdan Mohammed Hakami , Bayan Hassan Othman Hakami , Alrumaisaa Ahmad Daafi , Ibtihal Hassan Hadi , Nouf Mohammed Mari , Afnan Abdullah Al Jaloud , Munerah Abdullah Busbate , Ahmed Omar Bamujally , Ziyad Abdullateef Alkhateeb

Introduction: Sore throat is an acute upper respiratory tract disease that have an effect on the respiratory mucosa of the pharynx. Sore throat and acute sinusitis are both common causes behind consultations in primary care. Yet choosing how to treat infected patients is a long way from straightforward. Acute respiratory diseases include the respiratory mucosa that lines the pharynx and nasal sections, including sinuses and upper airway. Precise diagnosis is clouded by a wide range of various spectrum of different sources of disease, and a wide range of microorganisms that are related with, and may cause, disease. Aim of work: In this review, we will discuss the most recent evidence regarding the management and treatment of acute sore throat in adults. Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: sore throat, acute pharyngitis in adults, primary care, causes, management, and diagnosis of acute pharyngitis, complications of sore throat Conclusions: Rapid diagnostic tests should be used accordingly by certain criteria, not for all individuals with AP. The Strep A test is to be used only with individuals of 2 or more score on the Centor scale. The antibiotic of choice for treatment of streptococcal pharyngitis is penicillin V, Phenoxymethyl penicillin. Penicillin is proved to be the best antibiotic in treatment of GABHS acute pharyngitis. The combined therapy of amoxicillin and clavulanic acid is not empirically indicated in the management of nonrecurrent streptococcal pharyngitis. GABHS does not develop beta-lactamases. In our country it is important to adapt the prescription of antibiotics to the available scientific proof. The community pharmacy, as a healthcare service, should treat sore throat by applying protocols in order to differentiate between individuals who require pharmaceutical care and those requiring medical care. Key words: Acute Pharyngitis, Management, Adults, primary care.

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