What is included in the long-term monitoring of pediatric pharyngitis?

Updated: Dec 11, 2018
  • Author: Harold K Simon, MD, MBA; Chief Editor: Russell W Steele, MD  more...
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Answer

Because more than 90% of children clear GABHS from their pharynx within 24 hours after the initiation of antibiotic therapy, they should remain out of school or daycare for 1 day and until fever free. If symptoms persist for longer than 24-48 hours, patients should be reevaluated for the possibility that other concerns may be present, as well as for possible treatment failures.

A study by Schwartz et al reported that all children treated with amoxicillin for strep throat by 5 PM of day 1 may, if afebrile and improved, attend school on day 2. [18, 19]

Follow-up cultures are not routinely necessary unless concerns arise regarding recurrences or carrier states.


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