Abstract：
OBJECTIVE:To determine the validity of the Centor score (cervical adenopathy, tonsillar exudate, fever, and absence of catarrh symptoms) in diagnosing streptococcal pharyngitis (gold standard: throat swab). DESIGN:Descriptive study. SETTING:San Fernando 2 Health Centre, Madrid (outer urban area), Spain. PARTICIPANTS:On hundred forty patients over 14 years old who had a "sore throat" as main symptom and attended clinic between 14 February and 12 May, 2005. MAIN MEASUREMENTS:Sensitivity, specificity, positive and negative predictive values, and the probability quotients of the Centor score were determined. Pharyngeal throat culture was used as the reference method. RESULTS:Thirty four patients had positive throat culture (24.3%; 95% CI, 17.6%-32.4%). Finding the 4 criteria in the Centor score had a positive predictive value (PPV) of 48.1% (95% CI, 30.7%-66.0%) and a negative predictive value (NPV) of 81.4% (95% CI, 73.3%-87.5%); although only fever (OR, 3.64; 95% CI, 1.40-9.49) and tonsillar exudate (OR, 6.18; 95% CI, 2.08-18.35) were linked to streptococcal aetiology. CONCLUSIONS:The high NPV and specificity of the clinical score makes the diagnosis of non-streptococcal pharyngitis very accurate. However, the PPV is low: a high Centor score (3 or 4 criteria) does not mean streptococcal pharyngitis with certainty. What approach to take with patients suspected of streptococcal pharyngitis is not yet resolved (microbiological test, early antibiotic, or postponed antibiotic).
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Marín Cañada J,Cubillo Serna A,Gómez-Escalonilla Cruz N,Garzón de la Iglesia J,Benito Ortiz L,Reyes Fernández MNdoi
10.1157/13107724subject
Has Abstractpub_date
2007-07-01 00:00:00pages
361-5issue
7eissn
0212-6567issn
1578-1275pii
13107724journal_volume
39pub_type
杂志文章abstract：OBJECTIVE:The objective of this work was to value the relationship between cardiovascular disease and presence of hidden renal failure in patients between 35 and 74 years followed up for 10 years. DESIGN:Observational, longitudinal, retrospective study of a cohort of patients. SETTING:Primary care health centre. PAR...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(08)75696-8
更新日期：2008-12-01 00:00:00
abstract：AIM:To determine the relevance level of non-technical skills of those professionals dedicated to the healthcare of patients with chronic diseases, from an analysis of home care professionals. DESIGN:Quantitative and qualitative research conducted in 2 phases: 1.st from November 2010 to March 2011 and 2.nd from Decembe...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2014.02.009
更新日期：2015-02-01 00:00:00
abstract：OBJECTIVES:The main objective was to evaluate the use of two diagnostic instruments for mental disorders in primary care (PC): the PRIME-MD and the Goldberg anxiety and depression scales. Second, to determine the concordance between the two tests and evaluate the quality of psychiatric diagnosis records in the clinical...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-03-31 00:00:00
abstract：OBJECTIVE:To check whether the information in the written publicity that the pharmaceutical industry gives to family doctors really is based on the scientific studies that support it. DESIGN:Cross-sectional study. SETTING:Health centre on the outskirts of a big city. PARTICIPANTS:Over a year, all the scientific stud...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13075926
更新日期：2005-06-15 00:00:00
abstract：OBJECTIVE:To get to know the profile of use of antidepressants (AD) and tranquilizers-hypnotics (T-H) in primary care in Catalonia. DESIGN:Transversal, observational, epidemiological study of prescription-indication. LOCATION:Health centres in Catalonia, Spain. PARTICIPANTS:Included, using consecutive sampling, pati...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13079144
更新日期：2005-09-30 00:00:00
abstract：OBJECTIVE:To establish the effectiveness of a broad offer for tetanus vaccination (ATT), to any person visiting his general practitioner, by evaluating its coverage, acceptance by patients and final vaccination figures. DESIGN:Intervention study of nonrandom type. SETTING:Primary care. PATIENTS:1349 people aged > or...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-09-30 00:00:00
abstract：OBJECTIVES:To explore intentions, motivations and country preferences related with professional emigration in a sample of advanced medical students. DESIGN:Cross sectional and descriptive study. SETTING:11 Universities in Spain. PARTICIPANTS:A total of 740 students in their two final courses. PRIMARY MEASUREMENTS:T...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.01.017
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:To analyze adherence to treatment of tuberculosis infection and to identify risk factors for its compliance. DESIGN:An observational historical cohort study. SETTING:Hospital Universitari Sant Joan d'Alacant (Alicante). PARTICIPANTS:All patients with a tuberculin skin test (TST) done during tuberculosis co...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.05.009
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the results of a programme of intervention into the monitoring of short-term unfitness for work of members of the Special Sea Regime at Cádiz during 1997. DESIGN:Quasi-experimental intervention study with a pre- and post-intervention group, formed by the doctors from the Instituto Social de la Ma...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-11-30 00:00:00
abstract：OBJECTIVE:To discover the perception of health, social support and family function for asymptomatic HIV carriers. DESIGN:This was an observation crossover study, using validated questionnaires. SETTING:Almanjayar and Cartuja Health Centres in Granada. PATIENTS AND OTHER PARTICIPANTS:58 HIV+ patients belonging to the...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-03-15 00:00:00
abstract：OBJECTIVE:To assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW. DESIGN:A descriptive, prospecti...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-05-31 00:00:00
abstract：OBJECTIVE:To establish the diagnostic validity and usefulness of Eating Attitudes Test-26 (EAT-26) for the risk assessment of eating disorders in a male population. DESCRIPTION:Observational validation study questionnaire. SETTING:Performed in Medellin city at a community care level of mixed (public and private) psyc...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2016.02.016
更新日期：2017-04-01 00:00:00
abstract：:In this Clinical practice guide we examine the diagnostic and therapeutic management of adult patients with constipation and abdominal discomfort, at the confluence of the spectrum of irritable bowel syndrome and functional constipation. Both fall within the framework of functional intestinal disorders and have major ...
journal_title：Atencion primaria
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/j.aprim.2017.01.003
更新日期：2017-03-01 00:00:00
abstract：AIMS:To describe the evolution of mortality due to gastric cancer in Andalusia and the current geographic distribution of mortality. DESIGN:Descriptive, population-based study. SETTING:Andalusia (Southern Spain) during the period from 1975 to 1999. PARTICIPANTS:Residents of the region of Andalusia. MEASUREMENTS:Cru...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70475-1
更新日期：2001-12-01 00:00:00
abstract：OBJECTIVE:To know the usefulness and applicability of an information system for basic health areas put into operation 16 years ago. DESIGN:Descriptive study of selected indicators registered in 1994 and 2004. SETTING:Basic health areas of Barcelona, Spain. PARTICIPANTS:Population living in Barcelona, Spain, during 1...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13118058
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVE:To estimate the effectiveness of a Medication Discrepancy Detection Service (MDDS), a collaborative service between the community pharmacy and Primary Care. DESIGN:Non-controlled before-and-after study. SETTING:Bidasoa Integrated Healthcare Organisation, Gipuzkoa, Spain. PARTICIPANTS:The service was provid...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2020.04.008
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:To describe the prevalence of iron deficiency anaemia in the Basque Country by age group and sex and to identify the main groups at risk. DESIGN:Cross-sectional study. SETTING:Basque Country. PARTICIPANTS:School-aged population of Bilbao (n = 762); further education students of San Sebastian (n = 372); adu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-10-15 00:00:00
abstract：:A sample of 360 people was analyzed. They had received the protocol of preventive activities of the "Unitat Docent de Medicina Familiar i Comunitària de Barcelona" during 1989. The results of those activities directed to the prevention of cardiovascular risk and to the detection of excessive alcohol intake are reporte...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
abstract：OBJECTIVES:To validate the Cockroft-Gault and the abbreviated Modification of Diet in Renal Disease (MDRD) formulas in a hypertense population aged over 60 and with blood pressure monitored in out-patients. To evaluate the prevalence of various stages of hidden chronic kidney disease in this population. DESIGN:Descrip...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13101799
更新日期：2007-05-01 00:00:00
abstract：:We have evaluated serum cholesterol in a primary care center with a recently introduced portable analyzer: Reflotron (Boehringer Mannheim). The linearity and exactitude were investigated with Hitachi 704 (Boehringer Mannheim) used in the reference laboratory. Accuracy was also tested. We found a good accuracy after re...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
abstract：:In 2010, the American Diabetes Association included glycosylated hemoglobin (HbA1c) as a criterion for the diagnosis of diabetes with a cut-off point of ≥ 6.5%. However, there may be a substantial percentage of false negative results. Other scientific societies have accepted this approach but with slight differences. ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/S0212-6567(10)70002-0
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVES:To assess the validity of small questionnaires of 4,5 and 1 questions, based on the 15-question Spanish version of the Yesavage geriatric depression scale (GDS-VE), for diagnosing depression in the over-65s. DESIGN:Study to validate questionnaires. SETTING:Health centre consultations. PARTICIPANTS:258 pat...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13071040
更新日期：2005-01-01 00:00:00
abstract：OBJECTIVES:To describe sociodemographic and clinical characteristics of a diabetic population. To relate sociodemographic and clinical evolutionaries variables. DESIGN:Descriptive transversal study. SETTING:Three urban Primary Health Centers (PHC). Participants. Diabetic patients attended in these PHC.Measurements. ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)70616-1
更新日期：2002-05-15 00:00:00
abstract：OBJECTIVES:Evaluate the effectiveness of the implementation of independently or combined dietary and physical activity programs on the blood glucose values and lipid profile in patients with type 2 diabetes, including participants aged 60 years and over. DESIGN:Systematic review. DATA SOURCE:PubMed/Medline database, ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.06.012
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that women with epilepsy come from families with poor cohesion and adaptability to the disease, compared with healthy women. DESIGN:Cross-sectional study. SETTING:A retrospective study was done on 263 women from a neurology outpatient department and a family medicine unit from the Mex...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2013.10.005
更新日期：2014-05-01 00:00:00
abstract：OBJECTIVE:To appraise the level of school-children's dental health after five years in operation of the buccal-dental health programme, in which children received fortnightly rinses of sodium fluoride at 0.2%. DESIGN:A crossover study. School survey of the 1993-4 academic year. PARTICIPANTS:A total of 1,674 school-ch...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1995-10-31 00:00:00
abstract：OBJECTIVE:For purposes of the present study of people over 65 attending a particular Health Centre, we aimed to discover and inter-relate their morbidity due to chronic illnesses, their frequency of attendance, and the total average outlay of drugs on them. DESIGN:Descriptive crossover study. Information on the clinic...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：OBJECTIVE:To determine the percentage of patients over 65 years of age with potential problems derived from the consumption of medications, and identify associated variables. DESIGN:A descriptive cross-sectional study. SETTING:Otero y Paulino Prieto Health Centers (Oviedo). PATIENTS:A randomly selected group of 298 ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：INTRODUCTION:The lack of patient knowledge about their medication is considered to be one of the main reasons for an inappropriate use. OBJECTIVE:This study the level of knowledge in patients about their prescribed antibiotic, and describes some of the factors related to this. DESIGN:A cross-sectional, descriptive an...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2014.04.014
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVE:To discover the recruitment and follow-up coverage of Prenatal Care in Parla Health Center, derivation causes and quality control of follow-up. DESIGN:Descriptive and retrospective study. PATIENTS:We obtained 445 newborns (from May 1991 to April 1992) in pediatric records of Health Center, and encountered 4...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-10-31 00:00:00
