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SORE THROAT ANTIBIOTICS GUIDELINES

Sore throat antibiotics Guidelines

Pharyngitis or sore throat is a throat infection that is commonly seen in children

Pharyngitis may be caused by either viral or bacterial infections

While there are several reasons for sore throat infections, strep throat is sore throat infection caused by GABHS (group A beta hemolytic streptococcus) bacteria

Why?

Antibiotics

Antibiotics are chosen based on the type of bacterial pathogen and severity of signs and symptoms

cost of the antibiotics is a point of consideration

The bacterial organisms, gram positive bacteria account to sore throat infections when compared to gram negative bacteria

Antibiotics

Rapid strep test and mononucleosis are diagnostic tests to detect GABHS and Epstein-bar virus infections

2 to 3 days or begin to aggravate

When the patient shows positive to strep test, antibiotics form the frontline treatment

Antibiotics

Diagnostic tests to detect GABHS and Epstein-bar virus infections

Antibiotic therapy is recommended when there are persistent symptoms for more than 72 hours

contraindications in case of pregnant and pediatric patients

Antibiotics

Ideal to start a high dose penicillin (amoxicillin) therapy or macrolide antibiotic (first generation) for at least 10 days

Pharyngitis with minimum symptoms

This patient condition requires broad spectrum antibiotics such as second generation macrolide, fourth generation cephalosporins, or extended penicillin

Pharyngitis with systemic symptoms

If the patient is susceptible to or experiences GABHS relapse, a combination of amoxicillin-clavulanate is preferred

GABHS

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