Template:Streptococcal Pharyngitis Antibiotics

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

Penicillin Options:

• 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
• Amoxicillin 50 mg/kg once daily (maximum = 1000 mg) for 10 days

Penicillin allergic (mild):

• Cefuroxime 10mg/kg PO QID x 10d (child) or 250mg PO BID x 4d
• Cefixime 400mg/day PO in single daily dose x10d or divided q12hr x10d

Penicillin allergic (anaphylaxis):

• 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