Treatment FAQ

what is the treatment of strep throat

by Prof. Caleb Hintz II Published 3 years ago Updated 2 years ago
image

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

Medication

Nov 17, 2021 · The most common treatment for strep throat is antibiotics. There are medications and home remedies that can help alleviate the symptoms, such as taking ibuprofen to relieve fever and gargling with warm salt water to help ease the pain of the sore throat.

Procedures

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...

Self-care

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 ...

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...

Why you should treat strep throat with antibiotics?

Jan 26, 2021 · Healthcare providers treat strep throat with antibiotics. After taking antibiotics for 48 hours, you should start feeling better. There are also some treatments you can try out at home to help soothe your symptoms. Medications If the strep test is positive, antibiotics like amoxicillin and penicillin are prescribed.

How to heal a strep throat naturally?

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

What are some natural remedies for strep throat?

Streptococcal pharyngitis, commonly known as "strep throat", is a mild contagious bacterial infection in throat و Tonsils and/or pharynx (throat). It is the result of a group Streptococcus pyogenes. These bacteria can cause mild skin infections, cellulitis, herpes And some serious problems. Airborne droplets: When a person infected with strep ...

Will strep throat go away on its own?

See more

image

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

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 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 strep throat last?

A. Strep throat typically resolves in three to five days if untreated. Despite the short duration, antibiotic treatment is recommended to reduce the risk of complications. Symptoms typically resolve within one to three days following the start of antibiotics.Nov 1, 2020

Can I cure strep throat without antibiotics?

Strep throat typically goes away in three to seven days with or without antibiotic treatment. However, if you don't take antibiotics, you can remain contagious for two to three weeks and are at a higher risk for complications, such as rheumatic fever.

What causes strep throat?

Strep throat is caused by infection with a bacterium known as Streptococcus pyogenes, also called group A streptococcus. Streptococcal bacteria are contagious. They can spread through droplets when someone with the infection coughs or sneezes, or through shared food or drinks.Dec 17, 2020

How do you cure strep throat naturally?

Try some of the following natural treatments for strep throat to feel better.Gargle Warm Salt Water. The first natural remedy is one of the best and easiest ways to relieve the symptoms of strep throat. ... Drink Warm Tea. ... Eat Soothing Foods. ... Try Apple Cider Vinegar. ... Stay Hydrated.Jun 22, 2020

How do u know if u have strep throat?

The most common symptoms of strep throat include:Sore throat that can start very quickly.Pain when swallowing.Fever.Red and swollen tonsils, sometimes with white patches or streaks of pus.Tiny, red spots (petechiae — pronounced pi-TEE-kee-eye) on the roof of the mouth (the soft or hard palate)More items...

What's strep throat look like?

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.

Is 5 days of amoxicillin enough for strep throat?

Conclusions: In group A streptococcal tonsillopharyngitis, 5 days of clarithromycin or amoxicillin/clavulanate treatment had clinical efficacy comparable with that of 10 days of penicillin V treatment; however, amoxicillin/clavulanate and penicillin V were bacteriologically more effective than clarithromycin because of ...

What is the best medicine for strep throat?

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.

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.

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).

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.

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

The following symptoms suggest a virus is the cause of the illness instead of strep throat: It usually takes two to five days for someone exposed to group A strep to become ill. A sore throat that starts quickly, pain with swallowing, and fever are some of the common signs and symptoms of strep throat.

What is rapid strep test?

A rapid strep test involve s swabbing the throat and running a test on the swab. The test quickly shows if group A strep is causing the illness. If the test is positive, doctors can prescribe antibiotics. If the test is negative, but a doctor still suspects strep throat, then the doctor can take a throat culture swab.

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:

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.

What is the name of the virus that causes pharyngitis?

Many viruses and bacteria can cause acute pharyngitis. Streptococcus pyogenes, which are also called group A Streptococcus or group A strep, cause acute pharyngitis known as strep throat.

How old is strep pharyngitis?

Group A strep pharyngitis can occur in people of all ages. It is most common among children 5 through 15 years of age. It is rare in children younger than 3 years of age.

What is the name of the rash caused by group A strep?

Anterior cervical lymphadenopathy. Patients with group A strep pharyngitis may also present with a scarlatiniform rash. The resulting syndrome is called scarlet fever or scarlatina. Respiratory disease caused by group A strep infection in children younger than 3 years old rarely manifests as acute pharyngitis.

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.

When is strep pharyngitis most common?

In the United States, group A strep pharyngitis is most common during the winter and spring. CDC does not track the incidence of group A strep pharyngitis or other non-invasive group A strep infections. CDC tracks invasive group A strep infections through the Active Bacterial Core surveillance (ABCs) program.

What is the name of the condition in which a child has fever, irritability, and anore

These children usually have mucopurulent rhinitis followed by fever, irritability, and anorexia (called “streptococcal fever” or “streptococcosis”). In contrast to typical acute group A strep pharyngitis, this presentation in young children is subacute and high fever is rare.

How many people have strep throat?

According to the CDC, about 1 in 10 adults with sore throats have strep throat and 3 to 10 children with sore throats typically have strep. Strep throat is most common in the winter and spring. The most common treatment for strep throat is antibiotics.

What causes a sore throat?

Last Updated: 6/9/2021. One of the common causes of a sore throat is strep throat. It causes an inflamed, sore throat and tonsils often accompanied by fever and painful swallowing. It is quite contagious and is spread by sharing food and drinks, sneezing, coughing, and touching infected surfaces.

What is the symptom of strep throat?

Strep throat is a bacterial infection caused by group A Streptococcus or Streptococcus pyogenes. The main symptom of strep throat is a sore throat, also known as pharyngitis. Sore throats are also common in viral infections, such as a cold. However, the sore throat from viral infections usually goes away within two days ...

Why is it important to finish antibiotics?

It is very important to finish your antibiotics even if you feel better because strep throat can cause serious complications, such as rheumatic fever or glomerulonephritis (kidney inflammation), or turn into other serious infections within the streptococcal infection group, such as scarlet fever or impetigo.

What is the best antibiotic for strep throat?

The most commonly prescribed antibiotics are penicillin and amoxicillin. These drugs are safe, typically inexpensive, and are good at killing streptococcal infections in the throat, so they are the first choice for those with strep throat. For those allergic to penicillin—azithromycin, cefixime, clarithromycin, or clindamycin may be prescribed instead. Side effects of antibiotics often include upset stomach, yeast infections, or oral thrush (yeast overgrowth).

What are the side effects of strep throat?

What are the common side effects of strep throat medication? Common side effects of antibiotics are nausea, vomiting, diarrhea, yeast infections , and oral thrush (yeast overgrowth in the mouth). This is not a full list of side effects.

What test is used to test for sore throat?

Based on this examination, your doctor may run one of two tests to check for sore throat: A rapid antigen test or rapid strep test may be administered if strep throat is suspected. During this test, your doctor will swab the back of your throat for a sample.

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:

What to take for a sore throat?

Until the antibiotics start to work, these home treatments can help you or your child feel better: Over-the-counter pain relievers: Take acetaminophen ( Tylenol) or ibuprofen (Advil, Motrin) to bring down a fever and ease the sore throat. Don't give aspirin to children and teens.

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.

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.

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.

How to make your throat feel better?

They're easier to swallow. Cool-mist humidifier or saline nasal spray: Moisture can help make your throat feel better. Steer clear of anything that might bother your throat, like cigarette smoke, paint fumes, or cleaning products. Share on Facebook Share on Twitter Share on Pinterest Email Print.

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.

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.

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 to treat strep throat?

Shorten the duration of Strep throat symptoms. Reduce the likelihood of transmission to family members, friends, and other close contacts. Prevent the development of rheumatic fever and other complications. Viral sore throats should not be treated with antibiotics. Treatment is usually given for ten days and liquid antibiotics can be given ...

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 the CDC test for rapid antigen detection?

The CDC recommends that all patients, regardless of age, who have a positive rapid antigen detection test (RADT) (also known as the rapid streptococcal test, which detects the presence of GABHS cell wall carbohydrate from swabbed material) or throat culture receive antibiotics. Antibiotics have been shown to:

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.

How long should you stay home after antibiotics?

Do not share utensils, linen, or personal items. People with Strep throat or scarlet fever should stay home for at least 24 hours after starting antibiotics or until they feel well enough to return to school or work.

What is a high RADT score?

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.

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.

How long can you carry Gabhs?

Patients may carry GABHS for one year despite treatment. Chronic carriers are at little to no risk of immune-mediated post-streptococcal complications because no active immune response occurs. 39 Risk of GABHS transmission is very low and is not linked to invasive group A streptococcal (GAS) infections.

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.

Can streptococcal titers be used for pharyngitis?

Streptococcal antibody titers are not useful for diagnosing streptococcal pharyngitis and are not routinely recommended. They may be indicated to confirm previous infection in persons with suspected acute poststreptococcal glomerulonephritis or rheumatic fever.

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.

How long does it take for strep throat to become contagious?

Incubation period for strep throat is 1-5 days after exposure. If strep throat is treated with antibiotics, it is no longer contagious after 24 hours; if it is not treated with antibiotics, it is contagious for 2-3 weeks. Symptoms include fever, sore throat, tonsillitis, white spots or patches on the tonsils, and nausea and vomiting.

What is a rapid strep test?

A rapid strep test is performed in the health care practitioner's office. A rapid strep test can assist in ruling out other causes of sore throat, for example, flu, common cold, or mononucleosis. Treatment of strep throat is generally antibiotics.

How old is strep throat?

Strep throat is more common among children aged 5 to 15, but can affect people of all ages. It’s rare in children under 3 years of age. Adults who are parents of school-aged children or who are often in contact with children are more at risk for strep throat.

Why is it important to stop strep throat?

It’s important to practice good hygiene to stop strep throat from spreading. Most sore throats are caused by viruses, however, in some cases, the sore throat might be caused by bacteria called group A Streptococcus ( group A strep ). This bacteria can also cause skin infections. Experts estimate that more than 10 million group A strep infections ...

How long does it take for strep throat to fade?

These include: Scarlatina or scarlet fever is a red skin rash that feels like sandpaper. The rash fades in about 7 days and the skin may peel.

What to do if strep test positive?

If the strep test is positive, antibiotics like amoxicillin and penicillin are prescribed. Other antibiotics may be tried if there is a penicillin allergy. The symptoms are often gone within a few days of taking antibiotics, but you should still finish the full course of antibiotics, otherwise the symptoms may return.

How long does it take for a strep test to be positive?

A throat culture looks for Strep A bacteria. It’s more accurate but results take 24 to 48 hours.

What causes a runny nose and hoarseness?

Most common colds are caused by a virus, while a bacterial infection causes strep throat. If you have a common cold, you usually have symptoms such as coughing, a runny nose, and hoarseness. These symptoms, especially coughing, are not common with strep throat.

How long does it take for a throat test to show a sore throat?

The sample is then sent to a lab to look for signs of bacteria. The results are available in about 5 minutes.

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.

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.

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 ...

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.

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.

image

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

  • Your doctor will conduct a physical exam, look for signs and symptoms of strep throat, and probably order one or more of the following tests: 1. Rapid antigen test.Your doctor may perform a rapid antigen test on a swab sample from your throat. This test can detect strep bacteria in mi…
See more on mayoclinic.org

Special Considerations

Treatment

Carriage

Prognosis and Complications

Prevention

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9