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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