How Strep Throat Is Treated
Strep throat is treated with prescription antibiotics, such as penicillin, amoxicillin, and erythromycin, among others. Sometimes, over-the-counter options like ibuprofen or home remedies can reduce pain and ease other uncomfortable symptoms. If you have symptoms, you should see your healthcare provider to find out whether you have strep throatan accurate diagnosis will help you get the right treatment for the infection and help prevent complications of a persistent infection.
What Can Parents Do
Every family faces its share of colds, sore throats, and viruses. When you bring your child to the doctor for these illnesses, it’s important to not expect a prescription for antibiotics.
To lower the risk of bacterial resistance and prevent antibiotic overuse:
- Ask your doctor if your child’s illness is bacterial or viral. Discuss the risks and benefits of antibiotics. If it’s a virus, ask about ways to treat symptoms. Don’t pressure your doctor to prescribe antibiotics.
- Let milder illnesses run their course. This helps prevent germs from becoming antibiotic-resistant.
- Antibiotics must be taken for the full amount of time prescribed by the doctor. Otherwise, the infection may come back.
- Don’t let your child take antibiotics longer than prescribed.
- Do not use leftover antibiotics or save extra antibiotics “for next time.”
- Don’t give your child antibiotics that were prescribed for another family member or adult.
It’s also important to make sure that your kids:
- are up to date on their immunizations
- stay home from school when they’re sick
Ways To Prevent Antibiotic Resistance
The most important ways to prevent antibiotic resistance are:
- Minimise unnecessary prescribing and overprescribing of antibiotics. This occurs when people expect doctors to prescribe antibiotics for a viral illness or when antibiotics are prescribed for conditions that do not require them.
- Complete the entire course of any prescribed antibiotic so that it can be fully effective and not breed resistance.
- Practise good hygiene such as hand-washing and use appropriate infection control procedures.
Read Also: Can You Buy Antibiotics Without Prescription
The Sensitivity Of Streptococci To Antibiotics Is A Factor Of Successful Treatment
Before proceeding to the description of individual antibacterial agents used in streptococcal infections, it should be emphasized that the most important factor in the effectiveness of treatment is the sensitivity of streptococci to antibiotics, which determines the ability of drugs to destroy bacteria.
Often the effectiveness of antibiotic therapy is so small that the question arises why did not the antibiotic kill streptococcus? These bacteria in particular, Streptococcus pneumoniae have shown a significant increase in resistance over the last two decades, that is, resistance to antibacterial drugs: tetracycline and its derivatives do not act on them almost a third of their strains can not be influenced by erythromycin and penicillin resistance to some drugs of the macrolide group was developed. And fluoroquinolones are initially less effective in streptococcal infections.
The researchers attribute the decrease in the sensitivity of streptococci to antibiotics with the transformation of individual strains as a result of genetic exchange between them, as well as with mutations and increased natural selection, somehow provoked by the same antibiotics.
And its not just about the self-medication censured by doctors. A medication prescribed by a doctor may also be impotent before a streptococcal infection, since in most cases an antibacterial drug is prescribed without revealing a particular causative agent, so to speak, empirically.
Bacteria Resistant To Antibiotics
Some bacteria have developed resistance to antibiotics that were once commonly used to treat them. For example, Staphylococcus aureus and Neisseria gonorrhoeae are now almost always resistant to benzyl penicillin. In the past, these infections were usually controlled by penicillin.The most serious concern with antibiotic resistance is that some bacteria have become resistant to almost all of the easily available antibiotics. These bacteria are able to cause serious disease and this is a major public health problem. Important examples are:
- methicillin-resistant Staphylococcus aureus
- carbapenem-resistant Enterobacteriaceae gut bacteria
You May Like: Natural Antibiotics For Dogs Skin Infections
Data Collection And Analysis
Two review authors independently screened trials for inclusion, and extracted data using standard methodological procedures as recommended by Cochrane. We assessed risk of bias of included studies according to the methods outlined in the Cochrane Handbook for Systematic Reviews of Interventions and used the GRADE tool to assess the overall quality of evidence for the outcomes.
Essential Body Cleansing Kit
The first step towards the road to recovery is the Body Cleansing Kit, a way to cleanse and detoxify the entire system, getting rid of staph and other impurities that cause those prone to infection to see recurring staph infections. The Body Cleansing Kit ensures that the body will not contract another staph infection. Utilizing immune system-boosting herbs that rid the body of any residual left in the body from past staph infections, when used alongside StaphCure, improvement can be seen in as little as 1 week! This combination will cure even the most difficult to treat staph, and will make sure that the staph infection does not reoccur.
What is the Essential Body Cleansing Kit?
The Body Cleansing Kit is the first step in ridding the body of staph. It contains powerful organic herbs that rid the body of accumulated waste, bacteria, bloodstream toxins, and parasites, as well as boost fertility and enhance the immune system. The Body Cleansing Kit promotes overall wellness and body functions by tackling the root cause of staph infections, helping the body to start healing itself, and getting rid of the staph infection for good.
Few of Essential Body Cleansing Kit Benefits include:
- removal of harmful waste, bacteria, toxins, and parasites
- improved immune system function
- boosted fertility and tackle the root cause of infertility condition occasion by staph infection
- increased energy levels and get rid of discomforts
- lessening of anxiety and depression
- improved overall wellness
What Are The Recommended Dosages Of Antibiotics Used To Treat Strep Throat
Antibiotic dosages can vary depending on age and weight. The CDC recommends the following dosages of antibiotics for Strep throat, for those people without a penicillin allergy. One dosage regimen should be chosen that is appropriate for the person being treated.
Oral Penicillin V
- Children: 250mg twice daily or 250mg three times daily for 10 days
- Adolescents and adults: 250mg four times daily or 500mg twice daily for 10 days
- Children and adults: 50 mg/kg once daily for 10 days
- Children and adults: 25 mg/kg twice daily for 10 days
Intramuscular Benzathine penicillin G
- Children < 27 kg: 600 000 units as a single dose
- Children and adults 27 kg: 1 200 000 units as a single dose
The CDC recommends the following dosages of antibiotics for Strep throat, for those people with a penicillin allergy. One dosage regimen should be chosen that is appropriate for the person being treated.
- Oral cephalexin 20 mg/kg twice daily for 10 days
- Oral cefadroxil 30 mg/kg once daily for 10 days
- Oral clindamycin 7 mg/kg three times daily for 10 days
- Oral azithromycin 12 mg/kg once daily for the first day , followed by 6 mg/kg once daily for the next 4 days
- Oral clarithromycin 7.5 mg/kg twice daily for 10 days.
Key Points To Remember
- People often think antibiotics will cure their sore throat. But most sore throats are caused by a virus, such as a cold. Antibiotics won’t work for sore throats caused by a virus.
- Most of the time, sore throats go away on their own. It may take a few days or up to a week, depending on the cause.
- To relieve the pain from a sore throat, you can take over-the-counter medicines such as aspirin or ibuprofen, or you can try lozenges or nasal sprays. Drink lots of fluids and get plenty of rest.
- Your doctor may prescribe antibiotics to shorten the time you are able to spread strep throatwhich is caused by bacteriato others. Antibiotics will help prevent a serious but rare problem called rheumatic fever.
- Taking antibiotics too often or when you don’t need them can be harmful and costly. And the medicine may not work the next time you take it when you really do need it. This is called antibiotic resistance.
Recommended Reading: Over The Counter Antibiotics Cvs
Is Strep Throat Overmedicated
Sounds like the idea of not administering antibiotics for strep throat may not be as crazy as it first sounds. Are doctors overmedicating strep throat just like they overmedicate ear infections, colds and sinus/respiratory infections?
A round of antibiotics has the potential to cause permanent damage to the gut flora. This, in turn, has a lifelong impact on overall immunity to both chronic and acute illness. Skipping those antibiotic pills altogether may prove in the long run to be the smartest approach of all.
Causes & Symptoms Of Strep Throat
Strep throat is an infection of the throat and tonsils. Its caused by group A Streptococcusbacteria, also called group A strep. The group A strep bacteria is very contagious. It spreads through contact after an infected person coughs, sneezes, touches your mouth, nose or eyes. The bacteria also spreads by sharing a glass, utensil, plate or even a doorknob. This is why strep throat seems to happen more often in the colder months when people tend to be in closer quarters.
Strep throat symptoms typically start within five days of exposure to the strep bacteria symptoms include :
- Sore throat and difficulty swallowing
- Red and swollen tonsils
- Red spots on the roof of the mouth and a white or yellow coating on the throat and tonsils
- Swollen lymph nodes
- Fever of 101 degrees Fahrenheit or above
- Headache and body aches
- Non-itching, red rash, which is a sign of scarlet fever. Scarlet fever is a serious bacterial infection.
What Is Scarlet Fever
Scarlet fever is the name given to a bright red rash that develops following a Strep throat, although it can also develop following school sores .
Scarlet fever is less common than it was one hundred years ago because of antibiotic use and it only occurs in those who are susceptible to the toxins produced by the Streptococcal bacteria. It mostly occurs in children aged 4 to 8 years. By 10 years old more than 80% of children have developed lifelong protective antibodies against streptococcal toxins, whilst infants younger than 2 still have antibodies against the toxin that they acquired from their mother. This means that if two children in one family develop Strep throat, only one may develop scarlet fever.
Scarlet fever is a bright red rash that feels like sandpaper to the touch. The rash typically starts on the neck, underarm, or groin as small, flat red blotches that gradually become fine bumps and feel rough to the touch. In the body folds the rash may appear a brighter red . Facial flushing is common although a pale area may remain around the mouth. After seven days, the rash fades and some skin peeling may occur over the next month or longer, particularly around the fingertips, toes, and groin area.
Left untreated, Scarlet fever may progress to:
- Ear, sinus, and skin infections
- Joint inflammation
- Rheumatic fever
- Otitis media
Why The Strep Bacteria Isnt Leaving
The simple answer: its hiding! Really, it is. Its a living thing and like you, it doesnt want its life to end. Thus, the strep bacteria form a shield otherwise known as biofilm.
Biofilm is a sticky, slime-like substance that antibiotics cannot get through. When bacteria like strep are hiding under it, the medicine cannot get to it to kill it. To give you a better picture, biofilm exists in the environment as it does in our bodies. For instance, the slippery stuff you sometimes see on rocks that are in or near water is biofilm.
To form a biofilm, bacteria first adhere to a surface and then generate a polysaccharide matrix that also sequesters calcium, magnesium, iron, or whatever minerals are available.
The good news is that there is a simple way to break it down, making the bacteria accessible to obliterate.
Don’t Miss: Best Antibiotic For Pseudomonas Uti
How Long Till Strep Throat Isnt Contagious
When you get infected, you typically start to show symptoms about 2 to 5 days after you were exposed to the bacteria. You can stay contagious for up to a month if you dont get treated. Antibiotics can prevent the infection from spreading. People who take antibiotics stop being contagious after about 24 hours.
Argument #: Antibiotics Reduce Symptomology
The most important thing to recognize is that in the vast majority of patients, strep throat is a self limited disease that will get better in about 7 days with no treatment . The addition of antibiotics provides a modest benefit in terms of symptomology resolution . This benefit, however, is in comparison to placebo, which is not standard care. Supportive therapies including acetaminophen and NSAIDs may affect symptom improvement but there are no good studies on this. Finally, we must not forget about the potential additional side effects associated with antibiotics .
One therapy that has shown remarkable benefits in terms of symptoms is the use of corticosteroids. Hayward et al showed that corticosteroids increased the rate of symptom resolution at 24 hours with an NNT = 4 .
Bottom Line: If we are interested in making the patients symptoms resolve faster, corticosteroids are our best bet. I typically give 10 mg of decadron IM.
You May Like: Antibiotics For Gum Disease Treatment
Also Check: Strongest Antibiotic For Strep Throat
Will Strep Throat Go Away On Its Own
We highly recommend being seen by a provider if you are concerned you may have strep throat. Strep throat typically goes away in three to seven days with or without antibiotic treatment. However, if you dont take antibiotics, you can remain contagious for two to three weeks and are at a higher risk for complications, such as rheumatic fever.
Whats more, complications resulting from the bacterial infection can lead to increased susceptibility to other viral infections like influenza which can be fatal.
Pro Tip: If you have been diagnosed with strep throat, you can help prevent repeat infections by changing your and your families toothbrushes and thoroughly disinfecting all surfaces that may have been in contact with the strep virus.
Which Will Be The Fate Of Streptococcus Pyogenes Following Internalization
Secretory IgA against group A Streptococci inhibits streptococcal adherence to pharyngeal cells 26. However, in case of adherence, we might ask what will the fate of GAS be following internalization.
In the attempt to answer this question Marouni and Sela 27 treated epithelial cells harbouring intracellular bacteria with antibiotics to kill extra-cellular adherent bacteria and washed. In the absence of antibiotics, massive bacterial growth was apparent in the cell medium, accompanied by extensive death of the epithelial cells harbouring intracellular bacteria. This result suggests that intracellular bacteria had multiplied and damaged the monolayer. When they add either cytochalasin D or chloramphenicol, bacterial growth and cell injury were both prevented.
Analysis of three apoptotic markers in HEp-2 cells indicated that the latter underwent apoptosis. The Authors explained the data obtained by the following model:
You May Like: Antibiotics For Syphilis And Gonorrhea
Try To Gargle Using Himalayan Salt
You can gargle to soothe the sore and swollen throat. It also cleanses your throat, which makes it difficult for harmful bacteria to stay.
If you use salt, it increases pH balance in your mouth temporally, making it difficult for harmful bacteria to live. Plus, Himalayan salt can potentially improve respiratory difficulties as it contains antibacterial properties. The salt also has anti-inflammatory properties that help in removing pathogens.
Interactions With Other Drugs
These antibiotics from streptococci exhibit the following drug interactions:
Imipenem and Meropenem should not be used concomitantly with drugs that can damage the liver or worsen its kidney function.
Clindamycin differs incompatibility with the antibiotics of the aminoglycoside group, hypnotics and sedatives, calcium gluconate and magnesium sulfate, as well as with vitamins B6, B9, B12.
The activity of the drug with Cefpirum potentiates the simultaneous use of antibiotics of other groups . Also, its combination with antitumor agents, immunosuppressors, drugs for the treatment of tuberculosis, diuretics of the loop type should be avoided.
Amoxiclav reduces blood coagulability and the reliability of hormonal contraceptives.
, , , , , , , , ,
You May Like: Best Antibiotic For Nasal Infection
Is Amoxicillin Good For Strep Throat
strep throatamoxicillinSigns and symptoms of strep throat can include:
- Throat pain that usually comes on quickly.
- Painful swallowing.
- Red and swollen tonsils, sometimes with white patches or streaks of pus.
- Tiny red spots on the area at the back of the roof of the mouth
- Swollen, tender lymph nodes in your neck.
How Long Does Strep Throat Last
Strep throat will only last 3 to 7 days with or without treatment. Doctors usually treat strep throat with antibiotics even though they will not make you well any faster. Strep throat contagiousness will continue for 24 hours once antibiotics are started. With no treatment, strep throat continues to be contagious until symptoms resolve.
In response to the persistent overuse of antibiotics for strep throat, the journalCanadian Family Physician states:
symptoms caused by a bacterial sore throat fail to clear much faster when treated with antibiotics than they would if left alone.
It is certainly easier and quicker to hand out prescriptions every time than to explain and reassure. Each time we do this, however, we reinforce patients fears.
Do family physicians have to declare a conflict of interest in answering these questions? If we were to lower ourselves to examining the vulgar subject of money, it is certainly in our financial interest to keep many patients scared enough to rush to our offices whenever they get sore throats.
In view of the large number of antibiotics prescribed for sore throats, perhaps it is time to review whether we should be using such treatment for strep throat infections at all.
Read Also: Antibiotics For Pets Over The Counter