Treatment FAQ

which of the following medications is the treatment of choice for bacterial pharyngitis?

by Dr. Orion Murphy IV Published 3 years ago Updated 2 years ago

Penicillin is the drug of choice to treat GABHS pharyngitis, as recommended by expert committees of the American Heart Association, American Academy of Pediatrics, and the Infectious Disease Society of America, because of proven efficacy, safety, narrow spectrum, and low cost.Feb 8, 2019

Medication

Penicillin and amoxicillin are the antibiotics of choice for the treatment of pharyngitis. The association of amoxicillin and clavulanate is not indicated as the initial treatment of acute infection. Neither are macrolides indicated as first-line therapy; they should be reserved for patients allergic to penicillin.

Self-care

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. However, resistance to azithromycin and clarithromycin is common in some communities.

Nutrition

An inflammation of the pharynx which frequently results in a sore throat and may be caused by a variety of microorganisms. The following list of medications are in some way related to, or used in the treatment of this condition. Activity ?

Which antibiotics are used in the treatment of pharyngitis?

Bactericidal activity against rapidly growing organisms. Oral cephalosporins are highly effective for streptococcal pharyngitis, and several studies have found them to have slightly higher eradication rates than those of penicillin. Second-line agents in the treatment of patients with GABHS pharyngitis.

Which antibiotics are used to treat Group A strep throat?

What is pharyngitis?

What is the role of cephalosporin in the treatment of pharyngitis?

Which medication is the treatment of choice for bacterial pharyngitis?

Penicillin or amoxicillin is the antibiotic of choice to treat group A strep pharyngitis.

Which medicine is best for pharyngitis?

Penicillin and amoxicillin are the antibiotics of choice for the treatment of pharyngitis.

Which antibiotic is the drug of choice used to treat suspected streptococcal pharyngitis?

PENICILLIN. For almost five decades, penicillin has been the drug of choice for the treatment of streptococcal pharyngitis. This antibiotic has proven efficacy and safety, a narrow spectrum of activity and low cost.

What is the best antibiotic for a bacterial throat infection?

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.

Is azithromycin good for pharyngitis?

Conclusions: Treatment with 3-day, once daily 10 mg/kg azithromycin for GAS pharyngitis is associated with similar high levels of clinical efficacy, but lower levels of bacteriologic eradication, than with 10-day 100,000 IU/kg/day penicillin V.

What is flagyl used for?

Metronidazole is an antibiotic that is used to treat a wide variety of infections. It works by stopping the growth of certain bacteria and parasites. This antibiotic treats only certain bacterial and parasitic infections. It will not work for viral infections (such as common cold, flu).

What is ciprofloxacin used for?

About ciprofloxacin It belongs to a group of antibiotics called fluoroquinolones. It is used to treat serious infections, or infections when other anitbiotics have not worked. It's used to treat bacterial infections, such as: chest infections (including pneumonia)

Can amoxicillin treat pharyngitis?

A once-daily antibiotic regimen for group A β-hemolytic streptococcal pharyngitis (GABHS) could improve compliance and be effective in the prevention of rheumatic fever, a dangerous complication of untreated or poorly treated GABHS. Amoxicillin is ideal for once-daily dosing due to its low cost.

What is azithromycin used to treat?

Azithromycin is used to treat certain bacterial infections, such as bronchitis; pneumonia; sexually transmitted diseases (STD); and infections of the ears, lungs, sinuses, skin, throat, and reproductive organs.

What is clindamycin used for?

Clindamycin is used to treat bacterial infections. This medicine may be given to patients who have had an allergic reaction to penicillin. Clindamycin will not work for colds, flu, or other virus infections. This medicine is available only with your doctor's prescription.

Which is better for strep throat amoxicillin or cephalexin?

The Infectious Disease Society maintains in its guidelines that amoxicillin is the first choice for group A streptococcal pharyngitis. Cephalexin is an acceptable alternative for patients with a penicillin-related allergy.

What is amoxicillin used for?

About amoxicillin 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. It's often prescribed for children, to treat ear infections and chest infections.

Which antibiotic binds to the P site of the 50S ribosomal subunit of susceptible organisms

Semisynthetic macrolide antibiotic that reversibly binds to P site of 50S ribosomal subunit of susceptible organisms and may inhibit RNA-dependent protein synthesis by stimulating dissociation of peptidyl t-RNA from ribosomes, causing bacterial growth inhibition.

What is the goal of pharmacotherapy?

The goals of pharmacotherapy are to eradicate the infection, to reduce morbidity, and to prevent complications. Next: Antibiotics. Antibiotics. Class Summary. Oral penicillin is currently the drug of choice for GABHS pharyngitis. [ 1] .

What class of antibiotics is cleocin?

Sporadic resistance has been reported. Clindamycin (Cleocin) Belongs to the lincosamide class of antibiotics. Binds to the 50s ribosome and prevents bacterial protein synthesis. Is an option for symptomatic patients with multiple, recurrent episodes of pharyngitis proven by culture or rapid antigen testing.

What is the drug that interferes with cell wall synthesis?

Interferes with synthesis of cell wall by binding to penicillin -binding proteins. Penicillin is the drug of choice to treat GABHS pharyngitis, as recommended by expert committees of the American Heart Association, American Academy of Pediatrics, and the Infectious Disease Society of America, because of proven efficacy, safety, narrow spectrum, ...

Is cephalosporin a bactericidal agent?

Bactericidal activity against rapidly growing organisms. Oral cephalosporins are highly effective for streptococcal pharyngitis, and several studies have found them to have slightly higher eradication rates than those of penicillin. Second-line agents in the treatment of patients with GABHS pharyngitis.

Is penicillin better than erythromycin?

Inhibits RNA-dependent protein synthesis at the 50s ribosome. Can be given as a single daily dose, is better tolerated than erythromycin in patients who are allergic to penicillin, and is effective in a 5-d course.

Is S pyogenes sensitive to penicillin?

S pyogenes remains universally sensitive to penicillin. Treatment of choice for GAS pharyngitis, as recommended by expert committees of the American Heart Association, American Academy of Pediatrics, and the Infectious Disease Society of America, because of its proven efficacy, safety, narrow spectrum, and low cost.

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.

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.

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.

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.

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.

What is the treatment for pharyngitis?

Treatment of choice for GAS pharyngitis, as recommended by expert committees of the American Heart Association, American Academy of Pediatrics, and the Infectious Disease Society of America, because of its proven efficacy, safety, narrow spectrum, and low cost. Inhibits biosynthesis of cell wall by binding to penicillin-binding proteins. Bactericidal against sensitive organisms when adequate concentrations are reached and most effective during stage of active multiplication. Inadequate concentrations may be ineffective. GABHS remains uniformly susceptible in vitro.

Which antibiotic binds to the P site of the 50S ribosomal subunit of susceptible organisms

Semisynthetic macrolide antibiotic that reversibly binds to P site of 50S ribosomal subunit of susceptible organisms and may inhibit RNA-dependent protein synthesis by stimulating dissociation of peptidyl t-RNA from ribosomes, causing bacterial growth inhibition.

Does penicillin interfere with cell wall synthesis?

Interferes with synthesis of cell wall by binding to penicillin-binding proteins. Penicillin is the drug of choice to treat GABHS pharyngitis, as recommended by expert committees of the American Heart Association, American Academy of Pediatrics, and the Infectious Disease Society of America, because of proven efficacy, safety, narrow spectrum, and low cost. Preferred for patients unlikely to complete a full 10-d PO course. S pyogenes remains universally sensitive to penicillin.

What is the best antibiotic for diarrhea?

fluoroquinolones for travelers diarrhea. First line treatment for skin or soft tissue infections. Amoxicillin/ clavulanate is indiciated for first line therapy prophy of infection following animal bites including: dogs, cats, humans. May also be given in post op or post traumatic wounds.

What is the first line of treatment for DM?

A respiratory fluoroquinolone such as moxifloxacin, gemi floxacin, or le voloxacin is used as first line therapy when there are co-morbidities such as chronic heart, lung, liver, or renal disease, DM, alcoholism, malignancies, asplenia, immunosuppressing condition, or use of immunosuppressants.

What medications cause confusion in the elderly?

A) Cimetidine (Tagamet), digoxin (Lanoxin), diphenhydramine (Benadryl) Medications that commonly cause confusion in the elderly include cimetidine, lanoxin, and di phenhydramine . 286. A 55-year-old female with a history of migraine headaches has recently been diag- nosed with Stage II hypertension.

What is the best medication for migraine headaches?

Motrin, Anaprox, and Imitrex are all medications used to treat migraine headache. 188. A 40-year-old male complains to the nurse practitioner of severe stabbing pains behind his left eye for the past 2 days. It is accompanied by some nasal congestion and rhinorrhea, which is clear in color.

What is the most common medication for OCD?

86. A) Paroxetine (Paxil CR) Antidepressants are the most common medications used for OCD. Those antidepressants that are approved for OCD by the Food and Drug Administration (FDA) include clomipramine (Anafranil), fluvox- amine (Luvox), fluoxetine (Prozac), paroxetine (Paxil, Pexeva), and sertraline (Zoloft).

Can you use amoxicillin for strep throat?

If a patient has both mono and strep throat, avoid using amoxicillin or ampicillin. Instead, use penicillin (if not allergic) or a macrolide to treat. A 25-year-old healthy adult is diagnosed with atypical pneumonia by the NP. The patient reports a history of nausea, upset stomach, and vomiting with erythromycin.

Etiology

Clinical Features

Transmission

Risk Factors

Medically reviewed by
Dr. Mansi Shah
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
It usually resolves in few days or a week with medication.
Medication

Antibiotics: If it is caused by bacterial infection, the doctor suggests antibiotics.

Amoxicillin . Penicillin


Analgesics: To reduce pain and fever.

Acetaminophen . Ibuprofen

Self-care

Always talk to your provider before starting anything.

  • Rest until the symptoms get better
  • Gargle with warm salt water
  • Take enough fluids to prevent dehydration

Nutrition

Foods to eat:

  • Eat foods that are easy to swallow like broths, soups, cooked cereal
  • Honey can help in healing sore throat
  • Take non-acidic juices and fruit or vegetable smoothies

Foods to avoid:

  • Avoid spicy seasonings and sauces

Specialist to consult

Otolaryngologist
Specializes in the diagnosis and treatment of diseases of the ear, nose and throat.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Diagnosis and Testing

Special Considerations

Treatment

Carriage

Prognosis and Complications

Prevention

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