Template:Streptococcal Pharyngitis Antibiotics: Difference between revisions

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''Treatment can be delayed for up to 9 days and still prevent major sequelae''
''Treatment can be delayed for up to 9 days and still prevent major sequelae''
   
   
'''[[Penicillin]] Options:<ref name="ISDA strep 2012">[http://www.idsociety.org/uploadedFiles/IDSA/Guidelines-patient_Care/PDF_Library/2012%20Strep%20Guideline.pdf ID society guidelines]</ref>'''
'''[[Penicillin]] Options:<ref>Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82</ref>'''
*[[Penicillin V]] 250mg PO BID x 10d (child) or 500mg BID x 10d (adolescent or adult)
*[[Penicillin V]] 250mg PO BID x 10d (child) or 500mg BID x 10d (adolescent or adult)
*[[Bicillin L-A]] <27 kg: 0.6 million units; ≥27 kg: 1.2 million units IM x 1  
*[[Bicillin L-A]] <27 kg: 0.6 million units; ≥27 kg: 1.2 million units IM x 1  


'''[[Penicillin]] allergic (mild):<ref name="ISDA strep 2012">[http://www.idsociety.org/uploadedFiles/IDSA/Guidelines-patient_Care/PDF_Library/2012%20Strep%20Guideline.pdf ID society guidelines]</ref>'''
'''[[Penicillin]] allergic (mild):<ref>Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82</ref>'''
*[[Cefuroxime]] 10mg/kg PO QID x 10d (child) or 250mg PO BID x 4d
*[[Cefuroxime]] 10mg/kg PO QID x 10d (child) or 250mg PO BID x 4d


'''[[Penicillin]] allergic (anaphylaxis):<ref name="ISDA strep 2012">[http://www.idsociety.org/uploadedFiles/IDSA/Guidelines-patient_Care/PDF_Library/2012%20Strep%20Guideline.pdf ID society guidelines]</ref>'''
'''[[Penicillin]] allergic (anaphylaxis):<ref>Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82</ref>'''
*[[Clindamycin]] 7.5mg/kg PO QID x 10d (child) or 450mg PO TID x 10d OR
*[[Clindamycin]] 7.5mg/kg PO QID x 10d (child) or 450mg PO TID x 10d OR
*[[Azithromycin]] 12mg/kg QD (child) or 500mg on day 1; then 250mg on days 2-5
*[[Azithromycin]] 12mg/kg QD (child) or 500mg on day 1; then 250mg on days 2-5

Revision as of 16:19, 15 October 2018

Treatment can be delayed for up to 9 days and still prevent major sequelae

Penicillin Options:[1]

  • Penicillin V 250mg PO BID x 10d (child) or 500mg BID x 10d (adolescent or adult)
  • Bicillin L-A <27 kg: 0.6 million units; ≥27 kg: 1.2 million units IM x 1

Penicillin allergic (mild):[2]

  • Cefuroxime 10mg/kg PO QID x 10d (child) or 250mg PO BID x 4d

Penicillin allergic (anaphylaxis):[3]

  • Clindamycin 7.5mg/kg PO QID x 10d (child) or 450mg PO TID x 10d OR
  • Azithromycin 12mg/kg QD (child) or 500mg on day 1; then 250mg on days 2-5
  1. ↑ Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82
  2. ↑ Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82
  3. ↑ Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82
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