First Advisor

Dunemn, Kathleen

Degree Name

Doctor of Nursing Practice

Document Type

Capstone

Date Created

12-2017

Department

College of Natural and Health Sciences, Nursing, Nursing Student Work

Abstract

Group A-beta hemolytic streptococcus (GABHS) pharyngitis, commonly called “strep throat,” is a commonly seen diagnosis in primary care--most commonly seen in individuals aged 5-15 years. Worldwide, 616 million estimated cases of GABHS pharyngitis occur annually. Rheumatic heart disease, which might be a consequence of GABHS pharyngitis, is estimated to cause about 6 million years of life lost annually. In spite of the wide prevalence of the disease, in the current literature, there are differing guidelines regarding treatment of GABHS pharyngitis, specifically with regard to the dosing frequency of amoxicillin. Amoxicillin is a frequently recommended and utilized drug in the treatment of GABHS pharyngitis, often chosen for its palatability and ease of administration. Current literature shows increasing trends toward once daily dosing of amoxicillin in the treatment of GABHS pharyngitis although twice daily dosing was and is still widely utilized. This Doctor of Nursing Practice capstone project evaluated whether a clinical algorithm with embedded algorithm utilizing current evidence-based practice and expert opinions could improve provider proficiency in dosing as well as improve patient outcomes and adherence.

Keywords

Strep throat; GABHS; Amoxicillin

Extent

76 pages

Local Identifiers

DoornCapstone2017

Rights Statement

Copyright is held by the author.

Digital Origin

Born digital

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