Strep Throat
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STREP THROAT INFECTION

 

DEFINITION

 Your child has a strep throat infection diagnosed by a rapid strep test.  The treatment of strep throats can prevent some rare but serious complications, namely rheumatic fever (heart disease) or glomerulonephritis (kidney disease).  In addition treatment usually eliminates the fever and much of the sore throat within 24 hours.

 

HOME CARE

 

Antibiotics:

Your child's antibiotic is ______________________ . Your child's dose is                        given  _______times each day for ____________ days.  Try not to forget any doses.  If your child goes to school or a baby-sitter, arrange for someone to give the midafternoon dose.  If the medicine is a liquid, store the antibiotic in the refrigerator and use a measuring spoon to be sure that you give the right amount.  Give the medicine until all the pills are gone or the bottle is empty.  Even though your child will feel better in a few days, give the antibiotic for 10 days to keep the strep throat from flaring up.

Local Pain Relief:

Older children can gargle with warm saltwater  (1/4 teaspoon of salt per glass) or suck on hard candy (butterscotch seems to be a soothing flavor).  Younger children can be given 1 teaspoon of corn syrup periodically to soothe the throat.  Since swollen tonsils can make some foods hard to swallow, provide your child with a soft diet for a few days.  Acetaminophen or Ibuprofen may be given if your child has a fever over 102° F (39° C) or a great deal of throat discomfort.

 

 

Contagiousness:  Your child is no longer contagious after he or she has taken the antibiotic for 24 hours.  Therefore, your child can return to school after one day if he or she is feeling better.

 

 

 

 

Throat Cultures for the Family:  Strep throat can spread to other members of the family.  Any child or adult who lives in your home and has a fever, sore throat, runny nose, headache, vomiting, or sores; doesn't want to eat; or develops these symptoms in the next 5 days should be brought in for a strep test.  In most homes we need to check only those who are sick.  (Exception: In families where relatives have had rheumatic fever or frequent strep infections, everyone should come in for a strep test.)

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Follow-Up Visit:  Repeat tests are unnecessary if your child receives all of the antibiotic.

CALL OUR OFFICE

 

Immediately if:

 

Your child develops drooling.

Your child develops great difficulty with swallowing.

The fever lasts for over 48 hours after starting antibiotics.

You feel your child is getting worse.