Treatment Guideline Chart
Patients with group A beta-hemolytic streptococcal pharyngitis have classic symptoms of tonsillar swelling/exudates, tender anterior cervical lymphadenopathy, with no cough but with fever of >38ºC.
Clinical features suggestive of a viral etiology are conjunctivitis, absence of fever, coryza, cough, diarrhea, anterior stomatitis, hoarseness, discrete ulcerative lesions, rhinorrhea and viral exanthem and/or enanthem.
Antibiotics will not be needed for every patient that presents with sore throat but it should not be withheld if the clinical condition is severe or group A beta-hemolytic streptococcus is suspected.

Tonsillopharyngitis%20-%20acute Patient Education

Patient Education

  • Provide educational material about non-streptococcal causes of sore throats and home remedies that the patient may use
  • Patient should be instructed to follow up if the symptoms worsen or if they persist beyond 5-7 days
  • Advise patient to eliminate close contact with other people to minimize transmission of the disease
    • Patients are infectious 2-5 days before symptom onset, during the illness, and for a week after if untreated

GABS Suspected or Confirmed

  • Instruct the patient to remain at home until at least 24 hours of antimicrobial therapy has been received to minimize transmission of disease
  • Emphasize the importance of adhering to the prescribed medication regimen
  • Washing of the hands especially after coughing or sneezing and before preparing or eating the food prevents other people from getting infected with group A Streptococcus
  • Other practices of good hygiene:
    • Cover the nose and mouth with tissue while coughing or sneezing
    • Proper disposal of the used tissue in a waste basket
    • If there is no tissue, use the upper sleeve of the cloth or the elbow while coughing or sneezing
    • Wash hands with soap and water for at least 20 seconds
    • If soap is not available, use an alcohol-based hand rub instead
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