<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322016000400007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adecuación del diagnóstico y tratamiento de la faringoamigdalitis aguda a las guías actuales]]></article-title>
<article-title xml:lang="en"><![CDATA[Appropriateness of diagnosis and treatment of acute pharyngotonsillitis to current guidelines]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piñeiro Pérez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Martín]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carro Rodríguez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casado Verrier]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reques Cosme]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carabaño Aguado]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Villalba Servicio de Pediatría ]]></institution>
<addr-line><![CDATA[Collado Villalba Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Rey Juan Carlos  ]]></institution>
<addr-line><![CDATA[ Madrid]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>18</volume>
<numero>72</numero>
<fpage>317</fpage>
<lpage>324</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322016000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322016000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322016000400007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la faringoamigdalitis aguda (FAA) es una de las enfermedades más comunes en la infancia. El manejo diagnóstico y terapéutico es sencillo y, desde 2011, está consensuado. El objetivo principal es analizar la adecuación al consenso en un hospital de media complejidad, donde trabaja uno de los autores de dicho documento de consenso.  Pacientes y métodos: estudio descriptivo, transversal, unicéntrico y de ámbito local. Se realiza un análisis retrospectivo de los informes de alta y pruebas complementarias en todos los niños &#8804; 14 años diagnosticados de FAA en Urgencias Pediátricas. Periodo: del 1 de enero al 31 de diciembre de 2015.  Resultados:  se analizan 176 FAA (el 52,3%, niñas). La valoración clínica se realiza siempre mediante la escala de McIsaac. El 46,5% recibieron antibióticos antes de la realización de una técnica de detección rápida de antígeno estreptocócico o cultivo, en todos ellos. El 100% de los antibióticos y dosis prescritas se ajustaron al consenso. Los intervalos de dosis y la duración del tratamiento fueron adecuados en &gt; 85% de los casos. Las prescripciones inadecuadas fueron pautadas por solo dos de los 17 pediatras del hospital.  Conclusiones:  la adecuación es superior a lo descrito en otras series. El uso apropiado de antibióticos puede mejorar mediante la formación continuada y regular por parte de pediatras especializados en enfermedades infecciosas. Además, se sugiere que los tratamientos inadecuados se analicen según prescriptor, para seleccionar qué facultativos deben recibir una formación específica. Es prioritario adecuar la prescripción de antimicrobianos en la FAA a la evidencia científica en nuestro país.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  acute tonsillopharyngitis (ATP) is one of the most common childhood diseases. The diagnosis and therapeutic management is simple. Further, a consensus document exists in Spain since 2011. The aim of this study is to analyze the appropriateness to consensus in a general hospital, where an author of the consensus document is working.  Patients and methods:  a descriptive, cross-sectional, single-center and local study was conducted from January to December 2015. All children &#8804; 14 years diagnosed as ATP in the Pediatric Emergency room were included. Clinical records and complementary tools were retrospectively studied.  Results:  a total of 176 ATP were analyzed (52.3% girls). Clinical assessment was always performed by McIsaac score. After conducting culture or a rapid antigen-detection test, 46.5% of children received antibiotics. Selection of antimicrobials and prescribed doses were 100% adjusted to consensus. Dose ranges and duration of treatment were &gt;85% appropriated. Only two of 17 pediatricians working on the hospital were responsible of inappropriate prescriptions.  Conclusions:  appropriateness is higher than reported in other studies. Rational use of antibiotics could be improved through continuous and regular training by experts in pediatric infectious diseases. In addition, it is suggested to analyze inappropriate prescribers to select pediatricians that should receive specific training. In Spain, it is of primordial importance to adapt the prescribing of antibiotics to the scientific evidence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tratamiento]]></kwd>
<kwd lng="es"><![CDATA[Streptococcus pyogenes]]></kwd>
<kwd lng="es"><![CDATA[Niños]]></kwd>
<kwd lng="es"><![CDATA[Faringoamigdalitis]]></kwd>
<kwd lng="es"><![CDATA[Antibióticos]]></kwd>
<kwd lng="en"><![CDATA[Treatment]]></kwd>
<kwd lng="en"><![CDATA[Streptococcus pyogenes]]></kwd>
<kwd lng="en"><![CDATA[Children]]></kwd>
<kwd lng="en"><![CDATA[Pharyngitis]]></kwd>
<kwd lng="en"><![CDATA[Antibiotics]]></kwd>
</kwd-group>
</article-meta>
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<source><![CDATA[An Pediatr (Barc)]]></source>
<year>2007</year>
<volume>66</volume>
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</back>
</article>
