{"id":"https://openalex.org/W2923946993","doi":"https://doi.org/10.1186/s12879-019-3835-4","title":"Diagnosis and Management of Group a Streptococcal Pharyngitis in the United States, 2011\u20132015","display_name":"Diagnosis and Management of Group a Streptococcal Pharyngitis in the United States, 2011\u20132015","publication_year":2019,"publication_date":"2019-02-26","ids":{"openalex":"https://openalex.org/W2923946993","doi":"https://doi.org/10.1186/s12879-019-3835-4","mag":"2923946993","pmid":"https://pubmed.ncbi.nlm.nih.gov/30808305","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6390592"},"language":"en","primary_location":{"id":"doi:10.1186/s12879-019-3835-4","doi":"https://doi.org/10.1186/s12879-019-3835-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12879-019-3835-4","pdf_url":"https://bmcinfectdis.biomedcentral.com/counter/pdf/10.1186/s12879-019-3835-4","source":{"id":"https://openalex.org/S171015910","display_name":"BMC Infectious Diseases","issn_l":"1471-2334","issn":["1471-2334"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Infectious Diseases","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcinfectdis.biomedcentral.com/counter/pdf/10.1186/s12879-019-3835-4","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5089478776","display_name":"Robert F. Luo","orcid":"https://orcid.org/0000-0003-0129-0858","observed_orcids":["https://orcid.org/0000-0003-0129-0858"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robert Luo","raw_affiliation_strings":["Roche Molecular Systems, Inc, 4300 Hacienda Drive, Pleasanton, CA, 94588, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Roche Molecular Systems, Inc, 4300 Hacienda Drive, Pleasanton, CA, 94588, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071923992","display_name":"Joanna Jackson Sickler","orcid":"https://orcid.org/0000-0002-4341-9878","observed_orcids":["https://orcid.org/0000-0002-4341-9878"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Joanna Sickler","raw_affiliation_strings":["Roche Molecular Systems, Inc, 4300 Hacienda Drive, Pleasanton, CA, 94588, USA. joanna.sickler@roche.com","Roche Molecular Systems, Inc, 4300 Hacienda Drive, Pleasanton, CA, 94588, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Roche Molecular Systems, Inc, 4300 Hacienda Drive, Pleasanton, CA, 94588, USA. joanna.sickler@roche.com","institution_ids":[]},{"raw_affiliation_string":"Roche Molecular Systems, Inc, 4300 Hacienda Drive, Pleasanton, CA, 94588, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079065793","display_name":"Farnaz Vahidnia","orcid":"https://orcid.org/0000-0003-1130-4643","observed_orcids":["https://orcid.org/0000-0003-1130-4643"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Farnaz Vahidnia","raw_affiliation_strings":["Roche Diagnostics Information Solutions, 4300 Hacienda Drive, Pleasanton, CA, 94588, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Roche Diagnostics Information Solutions, 4300 Hacienda Drive, Pleasanton, CA, 94588, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079275165","display_name":"Yuan-Chi Lee","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yuan-Chi Lee","raw_affiliation_strings":["Roche Diagnostics Information Solutions, 4300 Hacienda Drive, Pleasanton, CA, 94588, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Roche Diagnostics Information Solutions, 4300 Hacienda Drive, Pleasanton, CA, 94588, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053943987","display_name":"Bianca K. Frogner","orcid":"https://orcid.org/0000-0002-5120-1828","observed_orcids":["https://orcid.org/0000-0002-5120-1828"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bianca Frogner","raw_affiliation_strings":["Primary Care Innovations Lab, Department of Family Medicine, UW Northgate Clinic, University of Washington, Box 354696, 314 NE Thornton Place, Seattle, WA, 98195, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Primary Care Innovations Lab, Department of Family Medicine, UW Northgate Clinic, University of Washington, Box 354696, 314 NE Thornton Place, Seattle, WA, 98195, USA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5045828406","display_name":"Matthew Thompson","orcid":"https://orcid.org/0000-0003-0256-8444","observed_orcids":["https://orcid.org/0000-0003-0256-8444"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Matthew Thompson","raw_affiliation_strings":["Primary Care Innovations Lab, Department of Family Medicine, UW Northgate Clinic, University of Washington, Box 354696, 314 NE Thornton Place, Seattle, WA, 98195, USA. mjt@uw.edu","Primary Care Innovations Lab, Department of Family Medicine, UW Northgate Clinic, University of Washington, Box 354696, 314 NE Thornton Place, Seattle, WA, 98195, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Primary Care Innovations Lab, Department of Family Medicine, UW Northgate Clinic, University of Washington, Box 354696, 314 NE Thornton Place, Seattle, WA, 98195, USA. mjt@uw.edu","institution_ids":["https://openalex.org/I201448701"]},{"raw_affiliation_string":"Primary Care Innovations Lab, Department of Family Medicine, UW Northgate Clinic, University of Washington, Box 354696, 314 NE Thornton Place, Seattle, WA, 98195, USA","institution_ids":["https://openalex.org/I201448701"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5045828406","https://openalex.org/A5071923992"],"corresponding_institution_ids":["https://openalex.org/I201448701"],"apc_list":{"value":2190,"currency":"USD","value_usd":2190},"apc_paid":{"value":2190,"currency":"USD","value_usd":2190},"fwci":8.977,"has_fulltext":true,"cited_by_count":68,"citation_normalized_percentile":{"value":0.98569573,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"19","issue":"1","first_page":"193","last_page":"193"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11153","display_name":"Streptococcal Infections and Treatments","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11153","display_name":"Streptococcal Infections and Treatments","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":0.004399999976158142,"subfield":{"id":"https://openalex.org/subfields/2402","display_name":"Applied Microbiology and Biotechnology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T12297","display_name":"Otolaryngology and Infectious Diseases","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/group-a-streptococcal-pharyngitis","display_name":"group A streptococcal pharyngitis","score":0.9769999980926514},{"id":"https://openalex.org/keywords/acute-pharyngitis","display_name":"acute pharyngitis","score":0.9449999928474426},{"id":"https://openalex.org/keywords/sore-throat","display_name":"sore throat","score":0.7739999890327454},{"id":"https://openalex.org/keywords/rapid-antigen-test","display_name":"rapid antigen test","score":0.9769999980926514},{"id":"https://openalex.org/keywords/nucleic-acid-amplification-testing","display_name":"nucleic acid amplification tests","score":0.8899999856948853},{"id":"https://openalex.org/keywords/bacterial-culture","display_name":"bacterial culture","score":0.7269999980926514},{"id":"https://openalex.org/keywords/antibiotic-prescribing","display_name":"antibiotic prescribing","score":0.8560000061988831},{"id":"https://openalex.org/keywords/inappropriate-antibiotic-use","display_name":"inappropriate antibiotic use","score":0.7960000038146973},{"id":"https://openalex.org/keywords/clinical-guideline-adherence","display_name":"clinical guideline adherence","score":0.7879999876022339},{"id":"https://openalex.org/keywords/pediatricians","display_name":"pediatricians","score":0.7400000095367432},{"id":"https://openalex.org/keywords/diagnostic-testing-patterns","display_name":"diagnostic testing patterns","score":0.6700000166893005}],"concepts":[{"id":"https://openalex.org/C2779279270","wikidata":"https://www.wikidata.org/wiki/Q2085267","display_name":"Pharyngitis","level":2,"score":0.8920286893844604},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.869552493095398},{"id":"https://openalex.org/C2910715184","wikidata":"https://www.wikidata.org/wiki/Q2085267","display_name":"Acute Pharyngitis","level":3,"score":0.6780251264572144},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.6301151514053345},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.6251190304756165},{"id":"https://openalex.org/C190139176","wikidata":"https://www.wikidata.org/wiki/Q598976","display_name":"Medical microbiology","level":2,"score":0.6026034355163574},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5718238353729248},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.400616317987442},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3285483717918396},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.12977737188339233},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.08381608128547668},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007159","descriptor_name":"Immunologic Tests","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010612","descriptor_name":"Pharyngitis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D010612","descriptor_name":"Pharyngitis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D010612","descriptor_name":"Pharyngitis","qualifier_ui":"Q000382","qualifier_name":"microbiology","is_major_topic":true},{"descriptor_ui":"D011307","descriptor_name":"Drug Prescriptions","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013290","descriptor_name":"Streptococcal Infections","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D013290","descriptor_name":"Streptococcal Infections","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D013290","descriptor_name":"Streptococcal Infections","qualifier_ui":"Q000382","qualifier_name":"microbiology","is_major_topic":false},{"descriptor_ui":"D013297","descriptor_name":"Streptococcus pyogenes","qualifier_ui":"Q000235","qualifier_name":"genetics","is_major_topic":false},{"descriptor_ui":"D013297","descriptor_name":"Streptococcus pyogenes","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":false},{"descriptor_ui":"D013297","descriptor_name":"Streptococcus pyogenes","qualifier_ui":"Q000472","qualifier_name":"pathogenicity","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D021141","descriptor_name":"Nucleic Acid Amplification Techniques","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1186/s12879-019-3835-4","doi":"https://doi.org/10.1186/s12879-019-3835-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12879-019-3835-4","pdf_url":"https://bmcinfectdis.biomedcentral.com/counter/pdf/10.1186/s12879-019-3835-4","source":{"id":"https://openalex.org/S171015910","display_name":"BMC Infectious Diseases","issn_l":"1471-2334","issn":["1471-2334"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Infectious Diseases","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5394185","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6390592","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6390592","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6390592","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Infect Dis","raw_type":"Text"},{"id":"pmid:30808305","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30808305","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC infectious diseases","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:28c93404b4874d47a0a80510cca50a69","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/28c93404b4874d47a0a80510cca50a69","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Infectious Diseases, Vol 19, Iss 1, Pp 1-9 (2019)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12879-019-3835-4","doi":"https://doi.org/10.1186/s12879-019-3835-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12879-019-3835-4","pdf_url":"https://bmcinfectdis.biomedcentral.com/counter/pdf/10.1186/s12879-019-3835-4","source":{"id":"https://openalex.org/S171015910","display_name":"BMC Infectious Diseases","issn_l":"1471-2334","issn":["1471-2334"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Infectious Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2923946993.pdf","grobid_xml":"https://content.openalex.org/works/W2923946993.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W1658170585","https://openalex.org/W1829288473","https://openalex.org/W1967265433","https://openalex.org/W1986705681","https://openalex.org/W2000387984","https://openalex.org/W2002245253","https://openalex.org/W2078578942","https://openalex.org/W2108599525","https://openalex.org/W2118971914","https://openalex.org/W2134513668","https://openalex.org/W2143160332","https://openalex.org/W2158939557","https://openalex.org/W2239524994","https://openalex.org/W2474941829","https://openalex.org/W2490862635","https://openalex.org/W2538643986","https://openalex.org/W2753559304","https://openalex.org/W2755055291","https://openalex.org/W2799347568","https://openalex.org/W3009200048"],"related_works":["https://openalex.org/W2747763884","https://openalex.org/W2978141148","https://openalex.org/W3178060299","https://openalex.org/W2951963592","https://openalex.org/W4200386769","https://openalex.org/W4368246337","https://openalex.org/W2615333058","https://openalex.org/W4396784355","https://openalex.org/W6902576558","https://openalex.org/W2921525774"],"abstract_inverted_index":{"BACKGROUND:":[0],"Clinical":[1],"guidelines":[2,252,294],"for":[3,241,253,295],"the":[4,13,28,37,62,77,281,292],"diagnosis":[5,30,254],"of":[6,15,33,42,52,112,121,135,144,173,232,255,259,274,283,289],"group":[7],"A":[8,49,66,119],"streptococcal":[9],"(GAS)":[10],"pharyngitis":[11,35,53,67,125,261,297],"recommend":[12],"use":[14,114,188,240,273],"a":[16,142],"rapid":[17],"antigen":[18],"detection":[19],"test":[20,43,215],"(RADT)":[21],"and/or":[22],"bacterial":[23],"culture.":[24,170],"This":[25],"study":[26],"evaluated":[27],"overall":[29],"and":[31,45,81,101,115,140,287],"treatment":[32],"acute":[34,124],"in":[36,129,194,228,291],"United":[38],"States,":[39],"including":[40],"predictors":[41,111],"type":[44],"antibiotic":[46,116,285],"prescription.":[47,117],"METHODS:":[48],"retrospective":[50],"analysis":[51],"events":[54,126,136,174],"from":[55,76,180],"2011":[56,181],"through":[57],"2015":[58,183],"was":[59,69,152,189,269],"conducted":[60],"using":[61,262],"MarketScan":[63],"commercial/Medicare":[64],"databases.":[65],"event":[68],"defined":[70],"as":[71],"occurring":[72],"within":[73],"2":[74],"weeks":[75],"index":[78],"visit.":[79],"Patient":[80],"provider":[82],"characteristics":[83],"were":[84,106,127,159,165,218],"examined":[85],"across":[86],"5":[87],"testing":[88,99,277],"categories:":[89],"RADT,":[90,162],"RADT":[91,168,197,210,263],"plus":[92,169,198,264],"culture,":[93],"other":[94,223],"tests,":[95],"nucleic":[96],"acid":[97],"amplification":[98],"(NAAT),":[100],"no":[102,214],"test.":[103],"Multivariate":[104],"models":[105],"used":[107],"to":[108,182,225],"identify":[109],"significant":[110],"NAAT":[113,177,202,267,290],"RESULTS:":[118],"total":[120],"18.8":[122],"million":[123,131],"identified":[128],"11.6":[130],"patients.":[132],"Roughly":[133],"two-thirds":[134],"(68.2%)":[137],"occurred":[138],"once,":[139],"roughly":[141],"third":[143],"patients":[145],"(29.1%)":[146],"required":[147],"additional":[148],"follow-up,":[149],"but":[150,205],"hospitalization":[151],"rare":[153],"(0.3%).":[154],"Across":[155],"all":[156],"events,":[157],"43%":[158],"diagnosed":[160,166,175],"by":[161,167,176],"while":[163],"20%":[164],"The":[171],"proportion":[172],"increased":[178],"3.5-fold":[179],"(0.06%":[184],"vs":[185],"0.27%).":[186],"Antibiotic":[187,239],"frequent":[190],"(49.3%),":[191],"less":[192,220],"often":[193,208],"combination":[195],"with":[196,209,246,271],"culture":[199,265],"(31.2%)":[200],"or":[201,213,266],"alone":[203,211,268],"(34.5%)":[204],"significantly":[206,219],"more":[207],"(53.4%)":[212],"(57.1%).":[216],"Pediatricians":[217],"likely":[221],"than":[222],"providers":[224],"prescribe":[226],"antibiotics":[227],"their":[229],"patients,":[230],"regardless":[231],"patient":[233],"age":[234],"(p":[235],"<":[236],"0.0001).":[237],"CONCLUSIONS:":[238],"sore":[242],"throat":[243],"remains":[244],"common,":[245],"many":[247],"clinicians":[248],"not":[249],"following":[250],"current":[251],"GAS":[256,260,296],"pharyngitis.":[257],"Diagnosis":[258],"associated":[270],"lower":[272,280],"antibiotics.":[275],"Diagnostic":[276],"can":[278],"help":[279],"incidence":[282],"inappropriate":[284],"use,":[286],"inclusion":[288],"clinical":[293],"warrants":[298],"consideration.":[299]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":10},{"year":2023,"cited_by_count":9},{"year":2022,"cited_by_count":16},{"year":2021,"cited_by_count":12},{"year":2020,"cited_by_count":10},{"year":2019,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2019-04-01T00:00:00"}
