Scarlet Fever

Scarlet Fever

Caused by Group A Streptococcus
Peak incidence 4-8 years
Incubation 2-5 days

Scarlet fever assessment

Abrupt onset of fever

Chills

Anorexia

Sandpaper rash on body

Strawberry like tongue with red swollen pharynx

Sore throat

Pastia lines

Desquamation of hands and feet

Scarlet fever diagnosis

- Throat culture positive for Group A Strep
- Blood Culture

Scarlet fever plan

- Prevent communicable spread
- Prevent fluid & electrolyte loss
- Prevent tissue injury

Scarlet fever intervention

- Amoxicillin & Penicillin V PO for 10 - 14 days or, Penicillin G IM one time
- Acetaminophen / NSAIDS for analgesia
- Soft foods & cool drinks
- Maintain hydration

Prevent communicable spread of disease

Droplet & standard precautions

Prevent fluid imbalance

- Identify maintenance fluid needs for patient
- Identify learning needs related to managing fever

Prevent tissue injury

- Prevent acute rheumatic fever (an inflammatory
disease that can affect the heart, joints, skin, and brain)
- Prevent post streptococcal glomerulonephritis
(inflammation of the kidneys)and other potential tissue
invasion (i.e., adenitis, mastoiditis, peritonsillar
abscesses)