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Cephalosporins better for streptococcus infections in children
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Treating streptococcal tonsillopharyngitis in children with a cephalosporin instead of penicillin produces significantly more bacteriologic and clinical cures. One additional child will benefit for every 13 children treated with a cephalosporin rather than penicillin. Only the cephalosporins cefaclor (Ceclor) and loracarbef (Lorabid) did not show an advantage over penicillin. The effect of cephalosporin treatment on prevention of rheumatic heart disease is not known. (LOE=1a)

 
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Practice Recommendations from Key Studies

Casey JR, Pichichero ME. Meta-analysis of cephalosporin versus penicillin treatment of group A streptococcal tonsil-lopharyngitis in children. Pediatrics 2004; 113:866–882.

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The Journal of Family Practice - 53(7)
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Practice Recommendations from Key Studies

Casey JR, Pichichero ME. Meta-analysis of cephalosporin versus penicillin treatment of group A streptococcal tonsil-lopharyngitis in children. Pediatrics 2004; 113:866–882.

Author and Disclosure Information

Practice Recommendations from Key Studies

Casey JR, Pichichero ME. Meta-analysis of cephalosporin versus penicillin treatment of group A streptococcal tonsil-lopharyngitis in children. Pediatrics 2004; 113:866–882.

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Article PDF
BOTTOM LINE

Treating streptococcal tonsillopharyngitis in children with a cephalosporin instead of penicillin produces significantly more bacteriologic and clinical cures. One additional child will benefit for every 13 children treated with a cephalosporin rather than penicillin. Only the cephalosporins cefaclor (Ceclor) and loracarbef (Lorabid) did not show an advantage over penicillin. The effect of cephalosporin treatment on prevention of rheumatic heart disease is not known. (LOE=1a)

 
BOTTOM LINE

Treating streptococcal tonsillopharyngitis in children with a cephalosporin instead of penicillin produces significantly more bacteriologic and clinical cures. One additional child will benefit for every 13 children treated with a cephalosporin rather than penicillin. Only the cephalosporins cefaclor (Ceclor) and loracarbef (Lorabid) did not show an advantage over penicillin. The effect of cephalosporin treatment on prevention of rheumatic heart disease is not known. (LOE=1a)

 
Issue
The Journal of Family Practice - 53(7)
Issue
The Journal of Family Practice - 53(7)
Page Number
522-530
Page Number
522-530
Publications
Publications
Topics
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Cephalosporins better for streptococcus infections in children
Display Headline
Cephalosporins better for streptococcus infections in children
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