Treatment FAQ

what is common treatment of scarlet fever

by Astrid Bradtke Published 2 years ago Updated 2 years ago
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Doctors treat scarlet fever with antibiotics. Either penicillin or amoxicillin are recommended as a first choice for people who are not allergic to penicillin. Doctors can use other antibiotics to treat scarlet fever in people who are allergic to penicillin.

Medication

You can relieve symptoms of scarlet fever by:

  • drinking cool fluids
  • eating soft foods if you have a sore throat
  • taking painkillers like paracetamol to bring down a high temperature (do not give aspirin to children under 16)
  • using calamine lotion or antihistamine tablets to ease itching

Self-care

Treatments for scarlet fever Scarlet fever is treated with antibiotics. If you aren't allergic to penicillin, you'll likely be prescribed penicillin or amoxicillin. People who have a penicillin allergy will take a different course of antibiotics.

Nutrition

Symptoms usually appear within one to four days of coming into contact with an infected person. In the past, scarlet fever was considered to be a serious childhood disease. However, it is now easily treated with antibiotics. Once the infection has cleared, immunity develops and it is rare for scarlet fever to return.

What do you use to cure scarlet fever?

The use of a recommended antibiotic regimen to treat scarlet fever:

  • Shortens the duration of symptoms
  • Reduces the likelihood of transmission to family members, classmates, and other close contacts
  • Prevents the development of complications, including acute rheumatic fever

Is there any cure for scarlet fever?

Can scarlet fever be cured?

How is scarlet fever treated through antibiotics?

See more

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What is the most effective treatment for scarlet fever?

Penicillin or amoxicillin is the antibiotic of choice to treat scarlet fever.

Can scarlet fever be treated without antibiotics?

Most mild cases of scarlet fever resolve themselves within a week without treatment. However, treatment is important, as this will accelerate recovery and reduce the risk of complications. Treatment normally involves a 10-day course of oral antibiotics, usually penicillin.

How do you treat scarlet fever rash?

Treatment normally involves a 10-day course of oral antibiotics, usually penicillin. The fever will usually go within 12 to 24 hours of taking the first antibiotic medication, and patients normally recover 4 to 5 days after starting the treatment.

Can scarlet fever be treated at home?

Lifestyle and home remedies. During scarlet fever, you can take several steps to reduce your child's discomfort and pain. Plan plenty of rest. Sleep helps the body fight infection.

Does doxycycline treat scarlet fever?

Official Answer. Doxycycline is a broad spectrum tetracycline antibiotic effective against some streptococcus species. Whilst not first line treatment, it can be used to treat strep throat and to prevent rheumatic fever.

Can you give ibuprofen for scarlet fever?

You can also take paracetamol or ibuprofen to relieve discomfort. Once you have had scarlet fever you are unlikely to get it again.

What's better amoxicillin or penicillin?

The main difference between amoxicillin and penicillin is that amoxicillin is effective against a wider spectrum of bacteria compared with penicillin. Both amoxicillin and penicillin belong to the class of antibiotics called penicillins.

Does azithromycin treat scarlet fever?

Scarlet fever is treated with antibiotics, usually penicillin or azithromycin. However, other antibiotics may be effective as well.

How is scarlet fever treated in children?

Scarlet fever is usually treated with a 10-day course of antibiotics. This is often in the form of penicillin or amoxicillin tablets, although liquid may be used for young children. For people who are allergic to penicillin, alternative antibiotics such as erythromycin can be used instead.

Are amoxicillin antibiotics?

Amoxicillin is a penicillin antibiotic. It is used to treat bacterial infections, such as chest infections (including pneumonia) and dental abscesses. It can also be used together with other antibiotics and medicines to treat stomach ulcers.

Can you take Benadryl for scarlet fever rash?

Dosage for children over 24lbs, use 1tsp or 5ml of benadryl and 5ml of cherry Maalox. For children less than 24lbs or larger children consult Dr. Eisner on dosage or you may use same dose as given on fever sheet for Tylenol elixir.

What can happen if scarlet fever is left untreated?

If you have scarlet fever and do not treat it, you're at risk. It can lead to rheumatic fever, which can cause serious health problems. Complications are rare, but can include kidney, liver, or heart damage. You may get an ear, sinus, or skin infection, pneumonia, or arthritis.

What happens if scarlet fever goes untreated?

If you have scarlet fever and do not treat it, you're at risk. It can lead to rheumatic fever, which can cause serious health problems. Complications are rare, but can include kidney, liver, or heart damage. You may get an ear, sinus, or skin infection, pneumonia, or arthritis.

Can scarlet fever go away?

Scarlet fever lasts for around 1 week. You can spread scarlet fever to other people up to 6 days before you get symptoms until 24 hours after you take your 1st dose of antibiotics. If you do not take antibiotics, you can spread the infection for 2 to 3 weeks after your symptoms start.

Can Benadryl help scarlet fever rash?

Dosage for children over 24lbs, use 1tsp or 5ml of benadryl and 5ml of cherry Maalox. For children less than 24lbs or larger children consult Dr. Eisner on dosage or you may use same dose as given on fever sheet for Tylenol elixir.

Can strep throat go away on its own?

If you have strep throat—which is caused by bacteria—your doctor may prescribe an antibiotic, such as penicillin. But strep throat goes away on its own in 3 to 7 days with or without antibiotics. Antibiotics may not make you well faster.

How to prevent scarlet fever?

The only way to prevent scarlet fever is by washing hands and maintains hygiene. It may be recommended not to share plates or utensils with other people, especially in schools and hostels. The best practice that may be followed is that people should cover their nose and mouth with a mask.

What is the main goal of scarlet fever?

The main goal of treating scarlet fever is to relieve the fever. The main goal of treating scarlet fever is to relieve the fever and itching as it causes discomfort to the patient. The treatment goal also includes reducing the spread of the disease. As scarlet fever is caused by bacteria, once the infection is confirmed, ...

What happens if scarlet fever is left untreated?

If scarlet fever is left untreated or treatment is unsuccessful, the following complications may arise: Rheumatic fever: This affects the heart and kidneys. This may also permanently damage the body and require long-term treatment. Ear infections. Adenitis or throat abscesses.

What is the red rash that causes scarlet fever?

Scarlet fever is a bacterial infection that causes a red rash. Learn more about scarlet fever, symptoms of scarlet fever, how doctors diagnose scarlet fever, and long-term effects of scarlet fever.

How long does scarlet fever last?

As scarlet fever is caused by bacteria, once the infection is confirmed, a course of antibiotics may be prescribed, usually penicillin, for up to 10 days. In some situations, a single dose of penicillin may be given by intramuscular injection. Patients allergic to penicillin may be treated with an alternative antibiotic, such as erythromycin.

What to do if you are allergic to penicillin?

Other common treatments include: Paracetamol when necessary for fever, headache, or throat pain. Eating soft foods and drinking plenty of cool liquids, particularly if the throat is very painful.

How long does it take for a fever to go away after antibiotics?

The fever usually improves within 12-24 hours after starting antibiotics and most patients recover after 4-5 days with the clearing of a rash over several weeks. Home remedies: Provide adequate fluids and rest to the patient for at least two weeks. Gargling with lukewarm water and salt. Humidify the air.

What to do if your child has scarlet fever?

If your child has scarlet fever, your doctor will prescribe an antibiotic. Make sure your child completes the full course of medication. Failure to follow the treatment guidelines may not completely eliminate the infection and will increase your child's risk of developing complications.

What to do if your child has a fever?

However, when you call to set up your appointment, you may be urged to seek immediate medical care if your child is experiencing any of the following: High fever. Severe sore throat with difficulty swallowing.

How to help a child with a swollen throat?

Provide adequate fluids. Give your child plenty of water to keep the throat moist and prevent dehydration. Prepare a saltwater gargle. If your child is able to gargle water, give him or her salty water to gargle and then spit out. This may ease the throat pain. Humidify the air.

What is the best antibiotic for scarlet fever?

Prevents the development of complications, including acute rheumatic fever. Penicillin or amoxicillin is the antibiotic of choice to treat scarlet fever. There has never been a report of a clinical isolate of group A strep that is resistant to penicillin.

What is scarlet fever?

Scarlet fever is an illness caused by pyrogenic exotoxin-producing S. pyogenes. S. pyogenes are gram-positive cocci that grow in chains ( see figure 1 ). They exhibit β -hemolysis (complete hemolysis) when grown on blood agar plates. They belong to group A in the Lancefield classification system for β-hemolytic Streptococcus, and thus are called group A streptococci.

What test is used to test for scarlet fever?

Clinicians need to use either a rapid antigen detection test (RADT) or throat culture to confirm scarlet fever with pharyngitis. RADTs have high specificity for group A strep but varying sensitivities when compared to throat culture. Throat culture is the gold standard diagnostic test. Clinicians should follow up a negative RADT in a child ...

What is the name of the rash that is caused by scarlet fever?

Scarlet fever, also called scarlatina, is characterized by a scarlatiniform rash and usually occurs with group A strep pharyngitis. It can also follow group A strep pyoderma or wound infections.

How to prevent strep infection?

Good hand hygiene and respiratory etiquette can reduce the spread of all types of group A strep infection. Hand hygiene is especially important after coughing and sneezing and before preparing foods or eating. Good respiratory etiquette involves covering your cough or sneeze. Treating an infected person with an antibiotic for at least 12 hours reduces their ability to transmit the bacteria. Per the American Academy of Pediatrics Red Book 2018, people with scarlet fever should stay home from work, school, or daycare until:

How common is scarlet fever in children?

It is most common among children 5 through 15 years of age. It is rare in children younger than 3 years of age. In the United States, scarlet fever is most common during the winter. CDC does not track the incidence of scarlet fever or other non-invasive group A strep infections.

How is scarlet fever transmitted?

Typically transmission occurs through saliva or nasal secretions from an infected person. People with scarlet fever are much more likely to transmit the bacteria to others than asymptomatic carriers.

What is the best treatment for scarlet fever?

Treating scarlet fever involves killing the bacteria that's causing it and doing what you can to ease symptoms as the infection resolves. Antibiotics, such as penicillin and amoxicillin, are essential. But warm salt gargles, oatmeal baths, and other home remedies can be beneficial additions to your treatment plan, too, ...

How does scarlet fever help?

Relieving the symptoms of scarlet fever is key to helping someone feel more comfortable during their illness. Tending to discomfort— a nasty sore throat, headache, itchy rash—may even help to speed recovery by making it easier for a patient to get enough sleep and rest.

What is the best medicine for a person who is allergic to penicillin?

For someone who's allergic to penicillin, narrow-spectrum cephalosporins typically are safe options. 2  Some examples of these medications are Keflex (cephalexin), cefadroxil (which is only sold as a generic drug), Cleocin (clindamycin), Zithromax (azithromycin), and Biaxin (clarithromycin). After two to three days of antibiotic treatment, most ...

How to keep strep out of the air?

The best way to keep bacteria out of the air, then, is to cough or sneeze into the crook of an elbow or sleeve.

How long do you have to be on antibiotics for scarlet fever?

Finally, anyone who's been diagnosed with scarlet fever must be on antibiotics for at least 24 hours before returning to school or daycare. 3  This is to prevent the risk of spreading the illness to others. It's also important to give the body time to rest and recuperate.

What is scarlet fever?

Although uncommon, two potentially serious conditions have been associated with scarlet fever: One is rheumatic fever, an inflammatory disease that can cause permanent heart damage. The other, post-streptococcal glomerulonephritis (PSGN), also is an inflammatory illness. It affects the kidneys. 1 .

How long does it take for scarlet fever to go away?

After two to three days of antibiotic treatment, most of the symptoms of scarlet fever are likely to resolve, although the rash may linger for some time. If non-rash symptoms don't go away, it may be a good idea to let your doctor know. In any case, it's important to complete the entire course of antibiotics for scarlet fever, ...

What is the best treatment for scarlet fever?

Coconut Oil. Coconut oil may have antibacterial, antifungal, and even antiviral properties that could help you with a scarlet fever battle. Coconut oil is believed to contain monocaprin and monolaurin, which are known to help the body fight off bacteria and viruses.

How to get rid of scarlet fever?

Internally, to help clean out the bacteria that causes scarlet fever, mix two teaspoons of apple cider vinegar in a glass of water and drink twice a day. Apple cider vinegar can also be used to soothe the rashes that are caused by scarlet fever. Take a cotton swab or a cotton ball and dip it into apple cider vinegar.

How to treat scarlet fever with ginger?

Similar to garlic, ginger can be taken for scarlet fever in relatively easy ways. Boil one cup of water and add one teaspoon of grated ginger to it. Let the mixture steep for a few minutes and then strain the liquid and drink. If this flavor isn’t to your liking, you can add a teaspoon of natural honey to the mix.

What causes a fever and a sore throat?

Scarlet fever is a bacterial illness that causes the skin to break out in pink or red rashes, and usually causes a high fever and a sore throat. It is very infectious through airborne bacteria and skin to skin contact, and while it mainly affects children, it can also affect adults.

How long does it take to cure scarlet fever?

Doctors will normally prescribe an oral antibiotic. This course of treatment is usually 10 days in length, and as long as you don’t have an allergy, the antibiotic is more than likely going to be penicillin.

Why do you drink fluids with scarlet fever?

With the fever that scarlet fever carries and the complications that it may bring, like excessive sweating and lack of appetite, it is a very idea to drink plenty of fluids in order to keep the minerals in your body replenished and avoid any dehydration that may come of it.

What is the best treatment for rashes?

Aloe Vera. Aloe vera is great for soothing skin issues of all sorts due to two amino acids it contains, phenylalanine and tryptophane, as well as a good dose of vitamin C. These amino acids and vitamins can help soothe the skin and also encourage the skin to heal itself from the damage that the rashes have caused.

How to help a child with scarlet fever?

If your child has scarlet fever, wash his or her drinking glasses, utensils, and, if possible, toys in hot soapy water or in a dishwasher. By Mayo Clinic Staff.

What is the scarlet fever?

Also known as scarlatina, scarlet fever features a bright red rash that covers most of the body. Scarlet fever is almost always accompanied by a sore throat and a high fever. Scarlet fever is most common in children 5 to 15 years of age. Although scarlet fever was once considered a serious childhood illness, antibiotic treatments have made it less ...

How long does scarlet fever last?

The rash and the redness in the face and tongue usually last about a week. After these signs and symptoms have subsided, the skin affected by the rash often peels. Other signs and symptoms associated with scarlet fever include: Enlarged glands in the neck (lymph nodes) that are tender to the touch.

How do you know if you have scarlet fever?

Symptoms. The signs and symptoms that give scarlet fever its name include: Red rash. The rash looks like a sunburn and feels like sandpaper. It typically begins on the face or neck and spreads to the trunk, arms and legs. If pressure is applied to the reddened skin, it will turn pale.

Is scarlet fever a serious illness?

Although scarlet fever was once considered a serious childhood illness, antibiotic treatments have made it less threatening. Still, if left untreated, scarlet fever can result in more-serious conditions that affect the heart, kidneys and other parts of the body.

How can you get a scarlet fever?

Scarlet fever can also be spread by infected individuals who are carriers of streptococcal bacteria but do not show any symptoms.

How to diagnose scarlet fever?

Diagnosis of scarlet fever is often suspected from the characteristic history and physical examination. Diagnosis is supported by: 1 Throat swab culture or rapid streptococcal antigen test, taken from posterior pharynx or tonsils 2 Anti-dexoyribonuclease B and antistreptolysin-O titres

What are the symptoms of scarlet fever?

What are the signs and symptoms of scarlet fever? Scarlet fever usually starts with a sudden fever associated with sore throat, swollen neck glands, headache, nausea, vomiting, loss of appetite, swollen and red strawberry tongue, abdominal pain, body aches, and malaise.

What are the most common causes of scarlet fever?

Those at greatest risk for scarlet fever include: People living in overcrowded environment such as boarding schools, day care or military camps. Children older than 3 years. People in close contact with someone who has a strep throat or skin infection.

How long does it take for a fever to go away?

When treated with appropriate antibiotics, the fever usually resolves within 12-24 hours. By about the sixth day of the infection the rash starts to fade and peeling, similar to that of sunburned skin, occurs.

What to do if you are allergic to penicillin?

Additional treatments include: Paracetamol when necessary for fever, headache or throat pain. Eating soft foods and drinking plenty of cool liquids , particularly if the throat is very painful.

Can you get scarlet fever from the same family?

To get scarlet fever you must still be susceptible to the toxin produced by the streptococcal bacteria. Therefore, it can happen that 2 children of the same family may both have streptococcal infections, but only one (who is still susceptible to the toxin) develops scarlet fever.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Scarlet fever is usually treated using antibiotics.
Medication

Antibiotics: An oral antibiotic for 10 days is the treatment of choice for scarlet fever- penicillin or amoxicillin; Erythromycin is the alternate antibiotic, if allergic to penicillin.

Penicillin . Amoxicillin . Erythromycin


Analgesics: Used to relieve pain and reduce fever.

Acetaminophen

Self-care

Always talk to your provider before starting anything.

Children infected with scarlet fever should be given plenty of fluids to keep the throat moist and prevent dehydration.

Nutrition

Foods to eat:

  • Easy to swallow foods like warm oatmeal, cooked cereal, or grits
  • Cooked vegetables
  • Fruit or vegetable smoothies
  • Mashed potatoes
  • Broth and cream-based soups
  • Cold foods like gelatin desserts, popsicles and yogurts
  • Take non-acidic juices and fruit or vegetable smoothies

Foods to avoid:

  • Spicy food
  • Citrus fruits and juices
  • Tomato juice and sauces
  • Sour, pickled or brined foods
  • Alcohol
  • Tobacco

Specialist to consult

Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Etiology

Clinical Features

  • If your child has scarlet fever, your doctor will prescribe an antibiotic. Make sure your child completes the full course of medication. Failure to follow the treatment guidelines may not completely eliminate the infection and will increase your child's risk of developing complications. Your child can return to school when he or she has taken antib...
See more on mayoclinic.org

Transmission

  • You can take a number of steps to reduce your child's discomfort and pain. 1. Treat fever and pain.Use ibuprofen (Advil, Children's Motrin, others) or acetaminophen (Tylenol, others) to control the fever and minimize throat pain. 2. Provide adequate fluids.Give your child plenty of water to keep the throat moist and prevent dehydration. 3. Prepare a saltwater gargle.If your child is able …
See more on mayoclinic.org

Risk Factors

  • You're likely to first see your family doctor or your child's pediatrician. However, when you call to set up your appointment, you may be urged to seek immediate medical care if your child is experiencing any of the following: 1. High fever 2. Severe sore throat with difficulty swallowing 3. Intense abdominal pain or vomiting 4. Severe headache
See more on mayoclinic.org

Diagnosis and Testing

Treatment

Prognosis and Complications

Prevention

Epidemiology and Surveillance

Resources

  • The use of a recommended antibiotic regimen to treat scarlet fever: 1. Shortens the duration of symptoms 2. Reduces the likelihood of transmission to family members, classmates, and other close contacts 3. Prevents the development of complications, including acute rheumatic fever Penicillin or amoxicillin is the antibiotic of choice to treat scarle...
See more on cdc.gov

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