Red throat
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Understanding and Managing Red Throat (Acute Pharyngitis)
Red Throat Diagnosis in Clinical Practice
Common Misdiagnosis of Red Throat
The term "red throat" is frequently used by healthcare professionals, particularly in Romania, to describe the appearance of a febrile child's throat. This term often leads to the diagnosis of acute pharyngitis, which is one of the primary reasons for antibiotic prescriptions in children1. However, the presence of a red throat does not always equate to acute pharyngitis. The redness observed can be due to general vascular changes during an inflammatory process, which may not necessarily indicate an infection requiring antibiotics1.
Pediatricians' Knowledge and Diagnostic Challenges
A study conducted in Ukraine highlighted that pediatricians often have limited knowledge regarding the diagnosis and management of sore throat in children. This lack of knowledge can lead to inappropriate treatment strategies, including unnecessary antibiotic use1. This issue is not isolated to Ukraine but is also observed in other countries, suggesting a widespread need for improved education and diagnostic protocols among pediatricians1.
Treatment Options for Sore Throat Due to Acute Pharyngitis
Ectoin® Mouth and Throat Spray (ERS09)
A multicenter study in Germany evaluated the effectiveness and tolerability of Ectoin® Mouth and Throat Spray (ERS09) for treating sore throat caused by acute pharyngitis and dry cough. The study compared ERS09 with a well-established sore throat spray (EMSER®) over a period of 7 days2.
Effectiveness and Patient Preference
The results showed that both ERS09 and the comparator were effective in reducing symptoms, with a significant reduction in the total symptom score (TSS) observed in both groups. Notably, ERS09 demonstrated a slightly greater improvement in pharyngeal redness and swelling, and a higher percentage of patients reported a soothing effect within five minutes of use2. The majority of patients in both groups experienced a 50% reduction in symptoms by day 62.
Safety and Tolerability
Both treatments were well-tolerated, with minimal adverse events reported. ERS09 had one adverse device effect, but no serious adverse events were noted in either group2. This indicates that ERS09 is a safe and effective option for managing symptoms of acute pharyngitis.
Conclusion
The term "red throat" is commonly used but often misrepresents the actual clinical condition, leading to potential overuse of antibiotics. Improved diagnostic accuracy and education among pediatricians are essential to address this issue. For treatment, Ectoin® Mouth and Throat Spray (ERS09) has been shown to be an effective and well-tolerated option for managing sore throat symptoms due to acute pharyngitis, offering a viable alternative to traditional treatments.
Sources and full results
Most relevant research papers on this topic
Effectiveness and Tolerability of Ectoin® Mouth and Throat Spray Althaea Honey (ERS09) for Sore Throat due to Acute Pharyngitis and Dry Cough: A Multicentre, Actively Controlled, Open Label Study in Germany
ERS09 mouth and throat spray is as well-tolerated and effective as established devices for treating sore throat caused by acute pharyngitis and dry cough, with greater improvement in pharyngeal redness/swelling.
RCTTonsillitis - using inflammatory relief for a better patient outcome
Tonsillitis is inflammation of the tonsils, which causes swelling, oedema, redness, and pain.1 Clinically, the distinction between tonsillitis and pharyngitis (inflammation of the pharynx) is unclear, so it is often simply referred to as an 'acute sore throat'.
Correlates of red throat coloration in female stickleback and their potential evolutionary significance
Red throat coloration in female stickleback is positively correlated with body size, growth, and red spine coloration, but not with body condition.
An unusual sore throat.
The young homeless man's sore throat was caused by a swollen uvula, which was not significant and did not require further investigation.
Case ReportThe Burden of Gastrointestinal, Liver, and Pancreatic Diseases: The Global Scenario.
This study found impaired upper esophageal sphincter reflexes in patients with supraesophageal reflux disease, but it's unclear if reflux is causing the throat symptoms.
Sore throat after intubation of the trachea.
No significant differences in sore throat incidence were found between cuffed p.v.c. tracheal tubes, intermittent adjustment of cuff volume, or humidification of inspired gases after tracheal intubation.
RCT
Large Human TrialAN EPIDEMIC OF SORE THROAT DUE TO A PECULIAR STREPTOCOCCUS
This epidemic of sore throat in Chicago is caused by a peculiar streptococcus, with severe complications and a number of fatal cases, and its clinical and bacteriologic features warrant further investigation.
The Sore Throat
Sore throats are most commonly due to viral infections, and recognizing these infections can help avoid unnecessary antibiotic treatment.
Severe acute tonsillitis caused by Rothia dentocariosa in a healthy child.
Acute tonsillitis caused by Rothia dentocariosa in a healthy child with a sore throat and high fever is a rare but potentially serious infection.
Case Report