Can we shorten the duration of treatment for acute streptococcal pharyngitis?
Dheeraj Shah
Abstract
Dheeraj Shah
Abstract
Treatment of acute streptrococcal sorethroat is advocated to hasten clinicalresolution, prevent suppurative sequelaeand decrease the incidence of rheumatic fever and glomerulonephritis. A 10-day course of penicillin is the standard treatment recommended for Group A beta hemolytic streptococci (GABHS) infection. Many antibiotics, including other beta lactams, macrolides, and clindamycin are also effective against streptococci and have the potential to shorten the duration of therapy. The present review was conducted with the objective of evaluating the efficacy of short course (2 to 6 days) of oral antibiotics in treating children with acute streptococcal pharyngitis, compared with a 10-day course of oral penicillin, on duration of symptoms (fever and sore throat), eradication of the organism, and, recurrence and complication rates (acute
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Treatment of acute streptrococcal sorethroat is advocated to hasten clinicalresolution, prevent suppurative sequelaeand decrease the incidence of rheumatic fever and glomerulonephritis. A 10-day course of penicillin is the standard treatment recommended for Group A beta hemolytic streptococci (GABHS) infection. Many antibiotics, including other beta lactams, macrolides, and clindamycin are also effective against streptococci and have the potential to shorten the duration of therapy. The present review was conducted with the objective of evaluating the efficacy of short course (2 to 6 days) of oral antibiotics in treating children with acute streptococcal pharyngitis, compared with a 10-day course of oral penicillin, on duration of symptoms (fever and sore throat), eradication of the organism, and, recurrence and complication rates (acute
Key concepts: Medicine, Pharyngitis, Sore throat, Clindamycin, Antibiotics, Penicillin, Rheumatic fever, Incidence (geometry)