Pharyngitis secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]
Overview
Routine treatment of asymptomatic GAS carriers is not indicated, unless during a recurrent GAS outbreak among family members, outbreak of rheumatic fever , or in a patient with a personal history of acute rheumatic fever or rheumatic heart disease. Chemoprophylaxis with penicillin (or macrolides if there is penicillin allergy) should be considered for GAS carriers with a well-documented history of rheumatic fever or rheumatic heart disease. Tonsillectomy may be an option for patients with recurrent streptococcal infections. Safe sex counseling to avoid HIV, Neisseria gonorrhoeae or Chlamydia transmission.[1]
Secondary Prevention
Reference
- ↑ Gerber MA, Baltimore RS, Eaton CB, Gewitz M, Rowley AH, Shulman ST et al. (2009) Prevention of rheumatic fever and diagnosis and treatment of acute Streptococcal pharyngitis: a scientific statement from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young, the Interdisciplinary Council on Functional Genomics and Translational Biology, and the Interdisciplinary Council on Quality of Care and Outcomes Research: endorsed by the American Academy of Pediatrics. Circulation 119 (11):1541-51. DOI:10.1161/CIRCULATIONAHA.109.191959 PMID: 19246689