美国传染病学会[3]Shulman ST, Bisno AL, Clegg HW, et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis. 2012;55:e86-e102.http://cid.oxfordjournals.org/content/55/10/e86.longhttp://www.ncbi.nlm.nih.gov/pubmed/22965026?tool=bestpractice.com
A型链球菌(GAS)咽炎可基于以下3或4种表现做出疑似诊断:咽部渗出、颈部淋巴结肿大、发热、不伴有咳嗽。确诊可通过快速抗原检测,如果检测结果阴性,则行A型链球菌的咽拭子培养。其他一些复杂的临床评分系统目前尚未证明有效。[15]Little P, Hobbs FD, Moore M, et al; PRISM investigators. PRImary care Streptococcal Management (PRISM) study: in vitro study, diagnostic cohorts and a pragmatic adaptive randomised controlled trial with nested qualitative study and cost-effectiveness study. Health Technol Assess. 2014;18:vii-xxv;1-101.http://www.journalslibrary.nihr.ac.uk/hta/volume-18/issue-6http://www.ncbi.nlm.nih.gov/pubmed/24467988?tool=bestpractice.com