CLINICAL MANAGEMENT GUIDELINE

Streptococcal sore throat

ICD10: Streptococcal pharyngitis [J02.0]

Treatment: Antimicrobial- pediatric doses

Defining facts about this disorder: caused by Group A Streptococcus which is the most common bacterial pathogen in children causing acute pharyngitis.


The goal of treatment of GAS is to prevent acute rheumatic fever, reduce the severity and duration of symptoms, and prevent transmission.

Success criteria: 1- treating acute infection 2- prevention of Acute complication e.g: peritonsillar abscess & Invasive disease 3- prevention of delayed complication

Treatments

Level 1 / 1
pharmacological
Clindamycin
ROUTE
Oral
DOSE
6.500 mg
FREQUENCY
T.I.D.
pharmacological
Cephalexin
ROUTE
Oral
DOSE
20.000 mg
FREQUENCY
BID
pharmacological
Penicillin V
ROUTE
Oral
DOSE
250.000 mg
FREQUENCY
BID
pharmacological
Clarithromycin
ROUTE
Oral
DOSE
7.500 mg
FREQUENCY
BID

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  • Duplicating mechanism of action of effect
  • Weight based dosing
  • Contraindication
  • Renal dosing
  • Interactions to drugs or diseases
  • Hepatic dosing

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