Pharyngitis

When do symptoms resolve for most patients with Pharyngitis without antibiotics?

75% resolced by day 7

Symptoms: 3-10 days
Contagious: symptoms + 7 days

When do symptoms resolve for most patients with Pharyngitis with antibiotics?

Symptoms: 1-4 days
Contagious: 1-2 days post antibiotics

Symptoms suggestive of GAS

Sudden onset
Fever
Headache
N/V, abdominal pain
Inflammation of pharynx & tonsils
Patchy discrete exudate
Patient aged 5-15 years
Winter/early spring
History of exposure

Symptoms suggestive of viral etiology

Conjunctivitis
Coryza (head cold)
Cough
Diarrhea

Suppurative complications

Otitis media
Peritonsillar cellulitis or abscess
Sinusitis
Meningitis
Bacteremia
Necrotizing fascitis

Non-Suppurative complications

Acute rheumatic fever
Post-streptociccal glomerularnephritis
Reactive arthritis

T/F Antibiotics decrease both suppurative and non suppurative complications

True

Only treat pharyngitis if positive for

GAS

Pharyngitis treatment pathway

What antibiotics for pharyngitis have a 10 day duration?

Penicillin V
Amoxicillin
Clarithromycin
Clindaymycin

What antibiotics for pharyngitis have a 5 day duration?

Azithromycin

What antibiotics for pharyngitis are given as a single dose?

Benzathin penicillin G IM