Potential Mechanisms for Treatment Failures in Group A Streptococcal Pharyngitis † 838

Treatment strategies for group A streptococcal pharyngitis.

In the recent, nicely done study by Needham et al. (2) concerning the impact of a rapid group A streptococcal antigen assay on physician usage of appropriate antibiotics, there are two areas of concern. (i) In the abstract, the authors state that if the rapid antigen test alone had guided therapeutic choice, an appropriate course of antibiotics would have been prescribed for 95% of the patients...

Group A streptococcal pharyngitis

The group A Streptococcus is the most common bacterial cause of pharyngitis. Although most cases of streptococcal pharyngitis are managed by primary care providers, the otolaryngologist is often consulted to assist in the management of patients with persistent sore throat, chronic streptococcal carriage, recurrent streptococcal pharyngitis, or complications of streptococcal infection. This arti...

Optimal Diagnosis and Treatment of Group A Streptococcal Pharyngitis

Group A streptococcus (GAS), or Streptococcus pyogenes, is the most common pathogen responsible for bacterial pharyngitis, which has the following characteristic clinical manifestations: fever, tender cervical lymphadenopathy, exudative pharyngeal discharge, and absence of common cold symptoms (cough, coryza, rhinorrhea, diarrhea, oral ulcer) [1, 2]. In addition to these Centor criteria, GAS ph...

treatment options of streptococcal pharyngitis in infancy

IDSA Updates Guideline for Managing Group A Streptococcal Pharyngitis.

www.aafp.org/afp Volume 88, Number 5 ◆ September 1, 2013 The Infectious Diseases Society of America (IDSA) has updated its 2002 guideline on managing group A streptococcal pharyngitis. The illness primarily occurs in children five to 15 years of age. Patients typically present with sudden onset of a sore throat, pain with swallowing, and fever. Examination shows tonsillopharyngeal erythema, oft...