Strep throat medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
The mainstay of therapy for | The mainstay of therapy for [[strep throat]] is [[antibiotic]] therapy. Treatment will help reduce symptoms, minimize transmission, and reduce the likelihood of complications.<ref name="cdcp">http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref> | ||
==Medical therapy== | ==Medical therapy== | ||
The mainstay of therapy for | The mainstay of therapy for strep throat is medical therapy. Treatment will help reduce symptoms, minimize transmission, and reduce the likelihood of complications. Antibiotic treatment recommended for strep throat include the following:<ref name="cdcp">http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016</ref><ref name="pmid22965026">{{cite journal| author=Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G et al.| title=Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2012 | volume= 55 | issue= 10 | pages= e86-102 | pmid=22965026 | doi=10.1093/cid/cis629 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22965026 }} </ref> | ||
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center | {| style="border: 0px; font-size: 90%; margin: 3px;" align="center" | ||
| colspan="3" style="background: #4479BA; text-align: center;" | {{fontcolor|#FFF|'''For individuals without penicillin allergy'''}} | | colspan="3" style="background: #4479BA; text-align: center;" | {{fontcolor|#FFF|'''For individuals without penicillin allergy'''}} | ||
|+ | |+ | ||
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10 days | 10 days | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" |'''Amoxicillin, oral''' | | style="padding: 5px 5px; background: #DCDCDC;" |'''[[Amoxicillin]], oral''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
50 mg/kg once daily (max = 1000 mg); | 50 mg/kg once daily (max = 1000 mg); | ||
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| colspan="3" style="background: #4479BA; text-align: center;" | {{fontcolor|#FFF|'''For individuals with penicillin allergy'''}} | | colspan="3" style="background: #4479BA; text-align: center;" | {{fontcolor|#FFF|'''For individuals with penicillin allergy'''}} | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Cephalexin, oral''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''[[Cephalexin]], oral''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
20 mg/kg/dose twice daily (max = 500 mg/dose) | 20 mg/kg/dose twice daily (max = 500 mg/dose) | ||
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10 days | 10 days | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Cefadroxil, oral''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''[[Cefadroxil]], oral''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
30 mg/kg once daily (max = 1 g) | 30 mg/kg once daily (max = 1 g) | ||
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10 days | 10 days | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Clindamycin, oral''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''[[Clindamycin]], oral''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
7 mg/kg/dose 3 times daily (max = 300 mg/dose) | 7 mg/kg/dose 3 times daily (max = 300 mg/dose) | ||
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10 days | 10 days | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Azithromycin, oral''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''[[Azithromycin]], oral''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
12 mg/kg once daily (max = 500 mg) | 12 mg/kg once daily (max = 500 mg) | ||
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5 days | 5 days | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC;" | '''Clarithromycin, oral''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''[[Clarithromycin]], oral''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
7.5 mg/kg/dose twice daily (max = 250 mg/dose) | 7.5 mg/kg/dose twice daily (max = 250 mg/dose) | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Pediatrics]] | |||
[[Category:Otolaryngology]] | |||
Latest revision as of 00:19, 30 July 2020
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Strep throat Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Strep throat medical therapy On the Web |
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American Roentgen Ray Society Images of Strep throat medical therapy |
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Risk calculators and risk factors for Strep throat medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
The mainstay of therapy for strep throat is antibiotic therapy. Treatment will help reduce symptoms, minimize transmission, and reduce the likelihood of complications.[1]
Medical therapy
The mainstay of therapy for strep throat is medical therapy. Treatment will help reduce symptoms, minimize transmission, and reduce the likelihood of complications. Antibiotic treatment recommended for strep throat include the following:[1][2]
| For individuals without penicillin allergy | ||
| Drug, Route | Recommended dose | Duration |
|---|---|---|
| Penicillin V, oral |
Children: 250 mg twice daily or 3 times daily; adolescents and adults: 250 mg 4 times daily or 500 mg twice daily |
10 days |
| Amoxicillin, oral |
50 mg/kg once daily (max = 1000 mg); Alternate:25 mg/kg (max = 500 mg) twice daily |
10 days |
| Benzathine penicillin G, intramuscular |
<27 kg: 600 000 U; ≥27 kg: 1 200 000 U |
1 dose |
| For individuals with penicillin allergy | ||
| Cephalexin, oral |
20 mg/kg/dose twice daily (max = 500 mg/dose) |
10 days |
| Cefadroxil, oral |
30 mg/kg once daily (max = 1 g) |
10 days |
| Clindamycin, oral |
7 mg/kg/dose 3 times daily (max = 300 mg/dose) |
10 days |
| Azithromycin, oral |
12 mg/kg once daily (max = 500 mg) |
5 days |
| Clarithromycin, oral |
7.5 mg/kg/dose twice daily (max = 250 mg/dose) |
10 days |
References
- ↑ 1.0 1.1 http://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Accessed on October 18, 2016
- ↑ Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G; et al. (2012). "Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America". Clin Infect Dis. 55 (10): e86–102. doi:10.1093/cid/cis629. PMID 22965026.