By vgreene, 4 October, 2017 Efforts to identify treat GAS carriers not ordinarily justified 7 8 however since it is impossible to distinguish carriers who are experiencing an intercurrent viral infxn from GAS infected individuals a single course of abx is appropriate for pts w acute
By vgreene, 4 October, 2017 A pt w 1 episode of bona fide GAS pharyngitis at close intervals may actually be a chronic pharyngeal GAS carrier who is experiencing repeated viral infxns5
By vgreene, 4 October, 2017 Treat initial repeat acute episode w PO penicillin amoxicillin or IM benzathine penicillin G consider adjunctive tx
By vgreene, 4 October, 2017 Adjunctive tx Consider analgesics antipyretic if high fever mod severe sx 1 but avoid aspirin in children 5 Corticosteroids not recommended6
By vgreene, 4 October, 2017 amoxicillin 50 mg kg PO daily x10 days max 1 000 mg day 1 4 alternate 25 mg kg PO bid x10 days max 500 mg dose1 3
By vgreene, 4 October, 2017 PCN VK Adolescents adults 250 mg PO qid or 500 mg PO bid x10 days 1 3 AHA4 recommends 500 mg PO bid tid for adults adolescents or children 27 kg Children 27 kg 4 250 mg PO bid tid x10 days1 3 4
By vgreene, 4 October, 2017 Testing empiric tx of asymptomatic household contacts not routinely recommended 10 unless index pt has ARF11
By vgreene, 4 October, 2017 Do not order antistreptococcal Ab titers for routine GAS dx as they reflect past but not current events9
