Group A streptococcal infections.

@article{Langlois2011GroupAS,
  title={Group A streptococcal infections.},
  author={Debra M. Langlois and Margie C. Andreae},
  journal={Pediatrics in review},
  year={2011},
  volume={32 10},
  pages={
          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… 

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References

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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
TLDR
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.
Group A streptococcal infections.
TLDR
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.
A streptococcal score card revisited
TLDR
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.