Group A streptococcal infections.

  title={Group A streptococcal infections.},
  author={Debra M. Langlois and M. Andreae},
  journal={Pediatrics in review},
  volume={32 10},
          423-9; quiz 430
• GAS is a common cause of upper respiratory tract and skin infections.• Based on strong research evidence, (1) throat culture is the gold standard for diagnosing GAS pharyngitis.• Based on strong research evidence, (1) oral penicillin V K is the antibiotic treatment of choice for GAS pharyngitis because of its efficacy, safety, and narrow spectrum.• Based on strong research evidence, (2) primary prevention of complications of GAS such as ARF involves prompt diagnosis and antibiotic treatment… Expand

Paper Mentions

Streptococcal pharyngitis in children: to treat or not to treat?
Large scale randomized controlled trials are necessary to assess the value of antibiotics for GAS pharyngitis in high-resource countries, in order to achieve uniform and evidence-based guidelines. Expand
[Streptococcus pyogenes infection in paediatrics: from pharyngotonsillitis to invasive infections].
Pharyngotonsillitis caused by GAS is common in childhood, and its incidence is increasing in children younger than 5 years, and at the moment, post-infectious complications are rare. Expand
Diagnostic Methods, Clinical Guidelines, and Antibiotic Treatment for Group A Streptococcal Pharyngitis: A Narrative Review
Treatment for GABHS using analgesics, antipyretics, and antibiotics seeks to provide symptom relief, shorten the duration of illness, prevent nonsuppurative and suppurative complications, and decrease the risk of contagion, while minimizing the unnecessary use of antibiotics. Expand
Poststreptococcal Illness: Recognition and Management.
Group A beta-hemolytic streptococcus can cause several postinfectious, nonsuppurative immune- mediated diseases including acute rheumatic fever, poststreptococcal reactive arthritis, pediatricExpand
Emergency evaluation and management of the sore throat.
  • A. Cirilli
  • Medicine
  • Emergency medicine clinics of North America
  • 2013
A thorough history and examination are vital but a high index of suspicion must be maintained to diagnose less common but serious pathology, such as epiglottitis and retropharyngeal abscess. Expand
Molecular Testing for Detection of Groups A, C, and G β-Hemolytic Streptococci in Pharyngeal Samples from Children.
The Lyra Direct Strep assay alone allowed for the elimination of β-streptococci screening by culture at the authors' institution and has observed a significant increase in the positivity rate of GAS compared with culture. Expand
Prevalence of group A β-haemolytic Streptococcus among children with pharyngitis in Jimma town, Southwest Ethiopia
Absence of cough, tonsillar swelling or exudate and temperature >38 °C were found to be independent predictors for GAS infection among children with pharyngitis, and the prevalence of GAS was relatively low. Expand
Acute onset of psoriatic spondyloarthritis as a new manifestation of post-streptococcal reactive arthritis: a case series
Acute psoriatic spondyloarthritis as a manifestation of post streptococcal reactive arthritis should be considered in the differential diagnosis of new onset inflammatory back pain followed by psoriasis in young adults who had a recent throat infection. Expand
[Recommendations for diagnosis and etiological treatment of acute streptococcal pharyngotonsilitis in pediatrics].
La faringoamigdalitis aguda (FA) es uno de los motivos de consulta más frecuentes para pediatras, internistas y médicos de atención primaria, siendo fundamental su confirmación microbiológica. Expand
Does Your “Backup” Method Have Your Back? Controversies Surrounding Backup of Rapid Antigen Detection Methods for Group A Streptococcus
Abstract Accurate diagnosis of streptococcal pharyngitis followed by appropriate antibiotic therapy is important for the prevention and control of group A streptococcus (GAS) infection and itsExpand


Prevention of rheumatic fever and diagnosis and treatment of acute Streptococcal pharyngitis: a scientific statement from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young, the Interdisciplinary Council
This report updates the 1995 statement by the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee and includes new recommendations for the diagnosis and treatment of GAS pharyngitis, as well as for the secondary prevention of rheumatic fever. Expand
Group A streptococcal infections.
One of the most crucial decisions in evaluating a patient who has pharyngitis is whether to perform a rapid antigen test or bacterial culture of the throat for GAS, and the clinician must keep in mind three important principles. Expand
A streptococcal score card revisited
The score can be used to predict the likelihood that a throat culture will be positive for group A streptococci (GAS) in children with acute onset of sore throat and the combination of age between five and 15 years, fever and absence of upper respiratory symptoms predicted a positive culture for GAS in 72% of patients. Expand