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Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by methodical review of available evidence and consensus among committee members. 

The Pharyngitis synopsis provides a high level overview of the care standards employed for this Clinical Pathway. 

Algorithms associated with this Clinical Pathway: 

Inclusion and exclusion criteria 


  • Suspected. Group A beta hemolytic streptococcus.
  • Age > 3 years.


Concern for the following: 

  • Peritonsillar abscess.
  • Lymphadenitis (tender, swollen lymph nodes with overlying erythema).
  • Viral stomatitis. 
  • Retropharyngeal abscess (such as restricted neck movement secondary to pain).
  • Ludwig’s Angina (cellulitis of the floor of the mouth). 

Committee members involved in the development: 

  • Angela Myers, MD, MPH | Infectious Diseases | Co-committee Chair  
  • Laura Norton, MD | Infectious Diseases| Co-committee Chair 
  • Marilyn Hamilton, MD, PhD | Laboratory | Committee Member 
  • Christine Scoby, DO | Hospital Medicine | Committee Member 
  • Irina Trifonova, MD | Hospital Medicine | Committee Member 
  • Tania Ahluwalia, MD | Emergency Medicine| Committee Member 
  • Shobhit Jain, MD | Emergency Medicine | Committee Member 
  • Abigail Hardin, MD | Pediatric Resident | Committee Member 
  • Ashley Fletcher, MD | Pediatric Resident | Committee Member 
  • Jessica Costalez, MD | Emergency Medicine | Committee Member 
  • Kerri Wade, MSN, RD, PPZCNP-BC | Primary Care | Committee Member 
  • Debbie Jaklevic, MSN, APRN, FNP-C, CPN | Adolescent Medicine | Committee Member 
  • Juhi Kangas, MD | Primary Care | Committee Member 
  • Diana Yu, PharmD | Pharmacy | Committee Member 
  • Anne Wirtz, PharmD | Pharmacy | Committee Member 
  • Alaina Burns, PharmD | Pharmacy | Committee Member 
  • Vanessa Watkins, MPH, FACHE, CHES | Patient advocate | Committee Member 
  • Amy Scott MSN, RN, CPN | Emergency Medicine | Committee Member 
  • Allison Burris, MD | Emergency Medicine | Committee Member 
  • Jeffrey Michael, DO | Evidence Based Practice Department | Committee Member 
  • Jacqueline Bartlett, PhD, RN | Evidence Based Practice Department | Committee Member 
  • Jarrod Dusin, MS, RD, LD, CPHQ| Evidence Based Practice Department | Committee Member 

Publication dates: 

  • Finalized date: April 2018; April 2022 
  • Next expected revision date: April 2025 

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