Treatment FAQ

what is the treatment for strep throat in adults

by Loren Cronin Published 3 years ago Updated 2 years ago
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Antibiotics get you well fast
Doctors treat strep throat 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 strep throat in people who are allergic to penicillin.

Medication

Dec 13, 2015 · Treatments for Strep Throat One of the best ways to treat strep throat bacteria is with antibiotics. Penicillin and amoxicillin are two effective antibiotic treatments proven to fight the bacteria. But the other symptoms of strep throat need …

Procedures

Nov 20, 2020 · What are the recommended dosages of antibiotics used to treat Strep throat? Oral cephalexin 20 mg/kg twice daily (maximum 500 mg twice daily) for 10 days. Oral cefadroxil 30 mg/kg once daily (maximum 100mg once daily) for 10 days. Oral clindamycin 7 mg/kg three times daily (maximum 300 mg three ...

Self-care

Aug 12, 2020 · Doctors most often prescribe penicillin or amoxicillin (Amoxil) to treat strep throat. They are the top choices because they're safer, inexpensive, and they work well on strep bacteria. Kids or...

Nutrition

31 rows · Mar 01, 2009 · Penicillin (10 days of oral therapy or one injection of intramuscular benzathine penicillin) is the treatment of choice because of cost, narrow spectrum of activity, and effectiveness. Amoxicillin...

What are the risks of not getting treatment for strep throat?

Jan 06, 2022 · There are eight different antibiotics recommended by the Centers for Disease Control (CDC) to treat strep throat. They include: penicillin …

Does strep throat go away on its own?

Jan 07, 2020 · "Strep throat is treated with antibiotics in both children and adults," Nambudripad says. A 10-day course of penicillin or amoxicillin are …

What are some natural remedies for strep throat?

Apr 18, 2022 · Complication Developing from Strep Throat: Consume warm fluids, such as tea and lemon water Eat soft, nutritious foods, such as apple sauce and yoghurt Have plenty of rest Gargle with saltwater: Simply add a quarter teaspoon of salt to a glass of warm water and gargle often. If you have throat ...

Can strep throat cure itself?

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Can strep throat go away on its own?

Strep throat usually goes away on its own within a week with or without antibiotic treatment, but without antibiotics, people may still be contagious for two to three weeks and are at a higher risk for complications.Jan 20, 2022

What is the best antibiotic for strep throat?

Doctors most often prescribe penicillin or amoxicillin (Amoxil) to treat strep throat. They are the top choices because they're safer, inexpensive, and they work well on strep bacteria.Aug 12, 2020

What is the fastest way to get rid of strep throat?

Gargle with 1/4 teaspoon (1.5 grams) of table salt in 8 ounces (237 milliliters) of warm water. Rest, drink fluids, eat soft foods and take pain relievers, such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others) to help ease symptoms.Dec 17, 2020

How long does it take adults to recover from strep throat?

Strep throat typically goes away within three to seven days with or without antibiotic treatment. If strep throat is not treated with antibiotics, you may be contagious for two to three weeks and at a higher risk for complications such as rheumatic fever.

How do adults get strep throat?

People who are infected spread the bacteria by talking, coughing, or sneezing, which creates small respiratory droplets that contain the bacteria. They can also spread the bacteria from infected sores on their skin. It usually takes two to five days for someone exposed to group A strep to become ill with strep throat.

What are the symptoms of strep throat in adults?

Signs and symptoms of strep throat can include:Throat pain that usually comes on quickly.Painful swallowing.Red and swollen tonsils, sometimes with white patches or streaks of pus.Tiny red spots on the area at the back of the roof of the mouth (soft or hard palate)Swollen, tender lymph nodes in your neck.Fever.More items...•Dec 17, 2020

What kills strep throat?

Strep throat is treated using antibiotics. An antibiotic is a type of medicine that kills the bacteria that cause the infection. Antibiotics are often taken as pills or given as a shot. Penicillin and amoxicillin are common antibiotics used to treat strep throat.Sep 18, 2019

What kills strep?

The most common strep throat treatment is antibiotics, such as penicillin or amoxicillin. Research suggests that just mentioning a sore throat to a doctor almost guarantees a prescription for antibiotics, even though viral infections cause 85 to 90 percent of sore throats in adults.

Can I have strep without a fever?

While fevers are a common symptom of strep throat, you can also have strep throat without a fever. However, whether you have a fever or not with strep throat, you are still contagious.Dec 10, 2021

Should adults get treated for strep throat?

Strep throat — Although strep throat typically resolves on its own within two to five days, treatment with antibiotics is recommended for adults whose rapid test or throat culture is positive for strep throat. Penicillin, or an antibiotic related to penicillin, is the treatment of choice for strep throat.Jun 11, 2021

Is strep worse for adults?

Strep throat is a common respiratory disease that tends to affect more children than adults, but it can affect anyone at any age.Jan 7, 2020

How long is someone contagious with strep throat?

When you get infected, you typically start to show symptoms about 2 to 5 days after you were exposed to the bacteria. You can stay contagious for up to a month if you don't get treated. Antibiotics can prevent the infection from spreading. People who take antibiotics stop being contagious after about 24 hours.Sep 22, 2020

Strep Throat Symptoms in Adults

Although strep throat may be more common during childhood and adolescence, it’s also an issue for adults. Much of the symptoms are the same and ins...

How Does Tonsillitis Relate to Strep throat?

Tonsils are small, visible masses of tissue that can be seen on the back of the throat. When the tonsils are infected, it is known as tonsillitis.S...

What Causes Strep throat? Why Is It Contagious?

One of the more discerning elements of strep throat is that it is highly contagious. It can be passed from person-to-person in a variety of ways, s...

Treatments For Strep Throat

One of the best ways to treat strep throat bacteria is with antibiotics. Penicillin and amoxicillin are two effective antibiotic treatments proven...

Why is throat culture important?

Culture is important to use in children and teens since they can get rheumatic fever from an untreated strep throat infection.

What causes a sore throat?

Viruses are the most common cause of a sore throat. However, strep throat is an infection in the throat and tonsils caused by bacteria called group A Streptococcus (group A strep).

How long does it take for a strep throat to get better?

Someone with strep throat should start feeling better in just a day or two after starting antibiotics. Call the doctor if you or your child are not feeling better after taking antibiotics for 48 hours.

Where does strep live?

Group A strep live in the nose and throat and can easily spread to other people. It is important to know that some infected people do not have symptoms or seem sick. People who are infected spread the bacteria by coughing or sneezing, which creates small respiratory droplets that contain the bacteria.

Can strep throat be a sore throat?

Worried your sore throat may be strep throat? Strep throat is a common type of sore throat in children, but it’s not very common in adults. Doctors can do a quick test to see if a sore throat is strep throat. If so, antibiotics can help you feel better faster and prevent spreading it to others.

What are the red spots on the roof of the mouth?

Tiny, red spots (petechiae — pronounced pi-TEE-kee-eye) on the roof of the mouth (the soft or hard palate) Swollen lymph nodes in the front of the neck. Other symptoms may include a headache, stomach pain, nausea, or vomiting — especially in children.

How to keep from getting group A strep?

The best way to keep from getting or spreading group A strep is to wash your hands often. This is especially important after coughing or sneezing and before preparing foods or eating. To practice good hygiene, you should:

What causes strep throat in adults?

Generally speaking, it is a bacterial infection that occurs in the throat and tonsils. Streptococcal bacteria can cause strep throat, irritation and inflammation.

What are the best antibiotics for strep throat?

Penicillin and amoxicillin are two effective antibiotic treatments proven to fight the bacteria. But the other symptoms of strep throat need to be dealt with if you hope to make a full recovery. Simple, home treatments that you can do to combat the symptoms of strep throat include: Rest. Drinking fluids (e.g. water)

How long does it take for strep throat to show symptoms?

Symptoms usually appear within five days after being infected, such as: Severe sore throat. Red and swollen tonsils. High fever. Stomach pain, vomiting and headaches can also occur but they are less frequent symptoms of strep throat.

Does strep cause a sore throat?

While strep does cause pain in the throat, sore throats are typically viral infections and associated with symptoms of a cold, such as coughing and sneezing. Strep throat has its own set of symptoms and brings its own set of complications apart from just a sore throat.

Is strep throat a pain?

Strep throat in adults may be a pain, but it’s not deadly. Practice proper prevention techniques, such as frequent handwashing and avoid sharing utensils. If you do become infected, it’s important to get treated as soon as possible.

What is strep pharyngitis?

Group A strep pharyngitis is an infection of the oropharynx caused by 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.

How is strep pharyngitis transmitted?

Typically transmission occurs through saliva or nasal secretions from an infected person. People with group A strep pharyngitis are much more likely to transmit the bacteria to others than asymptomatic pharyngeal carriers.

Can a RADT be positive?

Clinicians can use a positive RADT as confirmation of group A strep pharyngitis in children. However, clinicians should follow up a negative RADT in a child with symptoms of pharyngitis with a throat culture. Clinicians should have a mechanism to contact the family and initiate antibiotics if the back-up throat culture is positive.

What is the most common cause of pharyngitis in children?

Viruses are the most common cause of pharyngitis in all age groups. Experts estimate that group A strep, the most common bacterial cause, causes 20% to 30% of pharyngitis episodes in children. In comparison, experts estimate it causes approximately 5% to 15% of pharyngitis infections in adults.

How common is group A strep?

Humans are the only reservoir for group A strep. 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, group A strep pharyngitis is most common during the winter and spring.

Can you take penicillin for pharyngitis?

Clinicians should not treat viral pharyngitis with antibiotics. Penicillin or amoxicillin is the antibiotic of choice to treat group A strep pharyngitis. There has never been a report of a clinical isolate of group A strep that is resistant to penicillin.

Do carriers of strep have RADT?

Asymptomatic group A strep carriers usually do not require treatment. Carriers have positive throat cultures or are RADT positive, but do not have clinical symptoms or an immunologic response to group A strep antigens on laboratory testing. Compared to people with symptomatic pharyngitis, carriers are much less likely to transmit group A strep to others. Carriers are also very unlikely to develop suppurative or nonsuppurative complications.

Why does my throat feel like sandpaper?

Some people (usually children aged 4 to 8years) are susceptible to the toxins (poisons) produced by the S. pyrogenes bacteria and develop a bright red rash that feels like sandpaper to the touch.

What is the best treatment for strep throat?

Penicillin or amoxicillin are considered the best first-line treatments for Strep throat. According to the CDC (Centers for Disease Control and Prevention) “ There has never been a report of a clinical isolate of group A strep that is resistant to penicillin ”.

How do you know if you have a strep throat?

Symptoms of a Strep throat may include: Swollen and tender glands (lymph nodes) in the neck. Children are more likely to feel sick (develop nausea) and vomit. People with a Strep throat do NOT typically have a cough, runny nose, hoarseness, mouth ulcers, or conjunctivitis.

Where does a rash start?

The rash typically starts on the neck, underarm, or groin as small, flat red blotches that gradually become fine bumps and feel rough to the touch. In the body folds (such as in the armpits, elbows, and groin) the rash may appear a brighter red (called Pastia's lines).

Does strep throat get better?

Although most Strep throats will get better by themselves , there is a risk of acute rheumatic fever and other complications (such as oral abscesses or mastoiditis [a bacterial infection in the mastoid process, which is the prominent bone behind the ear]) occurring.

What antibiotics are used for strep throat?

For people with a penicillin allergy, treat Strep throat with either a narrow-spectrum cephalosporin (such as cephalexin or cefadroxil ), clindamycin, azithromycin, or clarithromycin. Note that resistance to azithromycin and clarithromycin has been reported.

How long does it take for strep throat to pass?

Without treatment, people with Strep throat can pass on the bacteria to others for one to two weeks after symptoms appear. The best way to prevent infection is to wash your hands often and always before eating or after being in contact with an infected person. Do not share utensils, linen, or personal items.

What is a strep test?

Strep throat, caused by bacteria, is one type of sore throat that can be treated. It isn't handled in the same way as sore throats caused by colds and other viruses, so your doctor will likely do what’s called a “rapid strep test” to be sure it's strep. If the test is positive (meaning you or your child has it), they’ll probably recommend:

How to help a child with strep throat?

Help prevent complications such as sinus and tonsil infections, and more serious things such as rheumatic fever. Doctors most often prescribe penicillin or amoxicillin (Amoxil) to treat strep throat.

When should antibiotics stop?

They should stop once your child finishes the medicine. If they are severe or persist, then call your doctor. People sometimes have an allergy to antibiotics, though it is rare. Symptoms of an allergic reaction may include:

Can you take penicillin if you are allergic to penicillin?

Kids or adults who are allergic to penicillin may be able to take one of these antibiotics instead: Azithromycin ( Zithromax, Zmax, Z-Pak) Cephalosporins, including cefixime (Suprax), cefuroxime ( Ceftin ), and cephalexin ( Keflex) Clarithromycin (Biaxin)

What to do if your test is positive?

If the test is positive (meaning you or your child has it), they’ll probably recommend: Antibiotics to kill the bacteria that’s causing it. Rest to help you get better faster. Over-the-counter medicines and home remedies to ease symptoms.

How long does it take for strep throat to go away?

Most antibiotic treatments for strep throat last about 10 days. Kids usually feel better a day or two after they start them. Once they've been on these drugs for about 24 hours, they're no longer contagious and can go back to school. Even after kids start to feel better, they should finish all their pills.

What happens if you don't treat strep?

If strep is not fully treated, it might lead to complications such as: Sinus and tonsil infections. Rheumatic fever, which can damage the heart, brain, and joints. Kidney problems. When people stop taking antibiotics too soon, the bacteria that cause strep can become resistant to the medication.

What is the best treatment for pharyngitis?

Penicillin is the treatment of choice for GABHS pharyngitis in persons who are not allergic to penicillin. A. 2, 18 – 20. Treatment is not typically indicated in chronic carriers of pharyngeal GABHS.

How sensitive is a RADT test?

10 RADT allows for earlier treatment, symptom improvement, and reduced disease spread. RADT specificity ranges from 90 to 99 percent. Sensitivity depends on the commercial RADT kit used and was approximately 70 percent with older latex agglutination assays. 11, 12 Newer enzyme-linked immunosorbent assays, optical immunoassays, and chemiluminescent DNA probes are 90 to 99 percent sensitive. 11, 12 However, newer tests may be more expensive, and not all tests are waived by the Clinical Laboratory Improvement Act of 1988.

Which is better, penicillin or amoxicillin?

Penicillin (10 days of oral therapy or one injection of intramuscular benzathine penici llin) is the treatment of choice because of cost, narrow spectrum of activity, and effectiveness. Amoxicillin is equally effective and more palatable. Erythromycin and first-generation cephalosporins are options in patients with penicillin allergy.

Is Gabs pharyngitis common?

Although GABHS pharyngitis is common, the ideal approach to management remains a matter of debate. Numerous practice guidelines, clinical trials, and cost analyses give divergent opinions. U.S. guidelines differ in whether they recommend using clinical prediction models versus diagnostic testing ( Table 4 ). Several international guidelines recommend not testing for or treating GABHS pharyngitis at all. 35

What are the symptoms of pharyngitis?

Palatal petechiae and scarlatiniform rash are highly specific but uncommon; a swollen uvula is sometimes noted. Cough, coryza, conjunctivitis, and diarrhea are more common with viral pharyngitis.

Does tonsillectomy reduce throat infection?

The effect of tonsillectomy on decreasing risk for chronic or recurrent throat infection is poorly understood. One trial in children showed that the frequency of recurrent throat infection decreased in the tonsillectomy/adenoidectomy and control groups. 40 The surgical group had one fewer episode of severe GABHS pharyngitis annually; the authors concluded that this small potential benefit did not justify the risks or cost of surgery. A meta-analysis of children and adults with chronic pharyngitis comparing tonsillectomy with nonsurgical treatment was inconclusive. 41 Another retrospective study based on data from the Rochester Epidemiology Project found that children with tonsils are three times more likely to develop subsequent GABHS pharyngitis than those who had undergone tonsillectomies (odds ratio = 3.1; P < .001). 42

What is the Centor score?

The original Centor score uses four signs and symptoms to estimate the probability of acute streptococcal pharyngitis in adults with a sore throat. 6 The score was later modified by adding age and validated in 600 adults and children. 7, 8 The cumulative score determines the likelihood of streptococcal pharyngitis and the need for antibiotics ( Figure 1 9 ). Patients with a score of zero or 1 are at very low risk for streptococcal pharyngitis and do not require testing (i.e., throat culture or rapid antigen detection testing [RADT]) or antibiotic therapy. Patients with a score of 2 or 3 should be tested using RADT or throat culture; positive results warrant antibiotic therapy. Patients with a score of 4 or higher are at high risk of streptococcal pharyngitis, and empiric treatment may be considered.

Why do doctors prescribe antibiotics for strep throat?

Because strep throat is a bacterial infection, your doctor will prescribe an antibiotic to treat it. These medications inhibit the spread of bacteria and infections. Several types of antibiotics are available. It’s important that you finish your antibiotic treatment course to kill the infection completely.

What is the cause of strep throat?

Strep throat is caused by bacteria called Streptococcus pyogenes or group A Streptococcus (also known as group A strep, or GAS). You can become infected with strep throat if you touch your eyes, nose, or mouth after being exposed to these bacteria. Along with coughing and sneezing, strep throat can be spread when you share food or a drink ...

How do you know if you have strep throat?

Other people have more severe symptoms, including fever and difficulty swallowing. The common symptoms of strep throat include: a sudden fever, especially if it’s 101˚F (38˚C) or higher. a sore, red throat with white patches. a headache.

Is strep throat a bacterial infection?

Strep throat is a highly contagious bacterial infection. It usually spreads through small respiratory droplets that become airborne when someone with strep throat sneezes or coughs. Learn more about why strep throat is so contagious.

What is the best medicine for strep throat?

Penicillin and amoxicillin are the most common medications given for a strep infection. If you’re allergic to penicillin or amoxicillin, your doctor may prescribe the antibiotic azithromycin. Find out more about azithromycin for treating strep throat.

How long does a strep throat last?

Strep throat diagnosis. See your doctor if you experience any of the following: a sore throat that lasts longer than two days. a sore throat with white patches. dark, red splotches or spots on the tonsils or the top of the mouth. a sore throat with a fine, sandpaper-like pink rash on the skin. difficulty breathing.

Can a doctor test for strep throat?

They may also check your neck for swollen lymph nodes and ask about other symptoms. If your doctor suspects you have strep throat, they may do a rapid strep test in the office.

What are the complications of strep?

Invasive group A strep infections can result in serious complications including: 1 Impetigo. Some cases of impetigo – a highly contagious skin infection causing red sores on the face – can be very severe and painful. 2 Rheumatic fever. A rare condition that can cause pain in the joints, skin problems, involuntary movements and lasting damage to the heart. 3 Heart disease. Damage to the heart valves can result from untreated strep that causes rheumatic fever.

How is strep throat spread?

Strep throat is spread by contact with bodily fluids, such as nasal secretions or saliva . The good news is that "only people with active strep throat infection are contagious," Nambudripad says.

Why is swallowing so hard?

Painful swallowing. Because the tissues in the throat become inflamed and swollen, this can make swallowing difficult and very painful. Absence of cough. With a common cold caused by a virial infection, you'll typically have a cough. But with strep throat, this is less likely, Nambudripad says.

What causes red sores on the face?

A skin infection that causes red sores typically on the face, hands and feet. Ear infections. Invasive group A strep infections can result in serious complications including: Impetigo. Some cases of impetigo – a highly contagious skin infection causing red sores on the face – can be very severe and painful.

How many people have strep throat?

In adults, only about one in 10 adults with a sore throat will have strep throat," but those who work with children are more likely to come down with it, she says. "If you have school-aged children or work in a school or day care, you have a higher chance of contracting strep throat.". Similarly, "adults who work in crowded places like military ...

Can strep throat be more prevalent in winter?

And while it tends to be somewhat more prevalent in the winter months, strep throat can strike at any time of the year. (Getty Images)

What are the symptoms of strep?

If you've been feeling a little under the weather, keep an eye out for the following seven signs and symptoms that may signal you're dealing with more than just a garden variety cold and may have a case of strep instead. Sore throat. The condition's hallmark symptom is a very sore throat.

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Etiology

Clinical Features

Transmission

Risk Factors

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Medications are available to cure strep throat, relieve its symptoms, prevent its complications and spread.
Medication

Antibiotics: To get rid of bacterial infection.

Amoxicillin . Cephalexin


Analgesics: Used to relieve throat pain and reduce fever.

Ibuprofen . Acetaminophen

Procedures

Tonsillectomy: Removal the tonsils for recurring episodes of Strep throat or tonsillitis and other complications after infection settles.

Self-care

Always talk to your provider before starting anything.

Avoid dehydration, avoid caffeine, gargle with salt water, use throat lozenges for temporary relief.

Nutrition

Foods to eat:

  • Warm fluids such as hot cocoa, warm milk, and soup
  • Soft starches such as cooked, enriched pasta, instant or white rice, soft tortillas, soft bread
  • Soft proteins such as scrambled eggs or egg whites, low-fat yogurt or cottage cheese

Foods to avoid:

  • Avoid spicy foods
  • Avoid citric fruits such as oranges, lemons, tomatoes, and grapefruits
  • Avoid dry snacks such as chips and popcorn

Specialist to consult

Otolaryngologist
Specializes in the diagnosis and treatment of diseases of the ear, nose and throat.
Infectious disease specialist
Specializes in dealing with the diagnosis, control and treatment of infections.

Diagnosis and Testing

  • Medications are available to cure strep throat, relieve its symptoms, and prevent its complications and spread.
See more on mayoclinic.org

Special Considerations

Treatment

Carriage

  • Group A strep pharyngitis is an infection of the oropharynx caused by 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.
See more on cdc.gov

Prognosis and Complications

  • Group A strep pharyngitis is an acute pharyngitis that commonly presents with 1. Sudden-onset of sore throat 2. Odynophagia 3. Fever Other symptoms may include headache, abdominal pain, nausea, and vomiting — especially among children. Patients with group A strep pharyngitis typically do not typically have cough, rhinorrhea, hoarseness, oral ulcers, or conjunctivitis. These …
See more on cdc.gov

Prevention

  • Group A strep pharyngitis is most commonly spread through direct person-to-person transmission. Typically transmission occurs through saliva or nasal secretions from an infected person. People with group A strep pharyngitis are much more likely to transmit the bacteria to others than asymptomatic pharyngeal carriers. Crowded conditions — such as those in schools, …
See more on cdc.gov

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