T/CACM 008-2018 Clinical Practice Guidelines for the Treatment of Common Infectious Diseases with Traditional Chinese Medicine Alone or in Combination with Antibiotics: Acute Pharyngitis

Scope

Main technical content: Acute pharyngitis is caused by viral or bacterial infections. The pathogenic bacteria involved in bacterial infections include Group A beta-hemolytic streptococcus (the most common) and Group C and Group G streptococci; less common causes include Haemophilus influenzae, Fusobacterium necrophilum, Neisseria gonorrhoeae, Corynebacterium diphtheriae, Staphylococcus aureus, Francisella tularensis, Yersinia pestis, Yersinia enterocolitica, and Treponema pallidum. Currently, international guidelines recommend prescribing cephalosporin antibiotics for patients with positive streptococcal tests, and the recommended antibiotics for acute streptococcal pharyngitis include: penicillin, amoxicillin, cefalexin, clindamycin, azithromycin, and clarithromycin. The widespread use of antibiotics by patients with acute pharyngitis may lead to serious problems such as antibiotic resistance. To address the problem of antibiotic resistance in patients with acute pharyngitis, reduce the irrational use of antibiotics in clinical treatment, and increase the recommended traditional Chinese medicine (TCM) treatment measures for acute pharyngitis, standardize the use of TCM alone/in combination with antibiotics or reduce antibiotic treatment for acute pharyngitis, this "Guide" has been developed. This "Guide" fully references the methods and processes of international clinical practice guidelines, and under the guidance of relevant laws, regulations, and technical documents, combines the characteristics of TCM, and establishes a guideline steering committee and drafting working group composed of multidisciplinary personnel in clinical medicine, epidemiology, pharmacy, evidence-based medicine, and statistics. Guided by the concept of evidence-based medicine, it conducts a comprehensive search of previous relevant evidence, screens the literature according to strict inclusion and exclusion criteria, evaluates the quality of the evidence, and combines expert consensus to m

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