Strep Throat Infection
What is strep throat?
Strep throat is an inflamed (red and swollen) throat caused by
infection with bacteria called Streptococci. It is diagnosed with
a throat culture or a rapid strep test at the doctor's office.
With treatment the fever and much of the sore throat are usually
gone within 24 hours. It is important to treat strep throat to
prevent some rare but serious complications such as rheumatic
fever (a disease that affects the heart) or glomerulonephritis (a
disease that affects the kidneys).
How do I take care of myself?
- Antibiotics
Your antibiotic is ______________________. Your dose is
___________, taken _____ times a day during waking hours for
10 days. Try not to forget any of the doses.
Take the medicine until all the pills are gone. Even though
you will feel better in a few days, take the antibiotic for 10
days to keep the strep throat from flaring up again.
A long-acting penicillin (Bicillin) injection can be given if
it will be impossible for you to take the oral antibiotic
regularly. (Note: If taken correctly, the oral antibiotic
works just as rapidly and effectively as a shot.)
- Fever and pain relief
Gargle warm saltwater (1/4 teaspoon of salt per glass) or an
antacid solution. You can suck on hard candy (butterscotch
seems to be a soothing flavor). Take acetaminophen (Tylenol)
or ibuprofen (Advil) for throat pain or fever over 102°F
(39°C). If the air in your home is dry, use a humidifier.
- Diet
A sore throat can make some foods hard to swallow. Eat a diet
of soft foods for a few days. Drink plenty of liquids.
- Contagiousness
You are no longer contagious after you have taken the
antibiotic for 24 hours. Therefore, you can return to school
after one day if you are feeling better and the fever is gone.
Hand washing is the best way to prevent strep throat.
- Throat cultures for the family
Strep throat can spread to others in the family. Any child or
adult who lives in your home and has a fever, sore throat,
runny nose, headache, vomiting, sores, doesn't want to eat, or
develops these symptoms in the next 5 days should be brought
in for a throat culture. In most homes only the people who are
sick need throat cultures. (In families where relatives have
had rheumatic fever or frequent strep infections, everyone
should have a throat culture.) Your healthcare provider will
call you if any of the cultures are positive for strep.
- Recurrent strep throat and repeat cultures
Usually repeat cultures are not necessary if you take all of
the antibiotic. However, about 10% of people with strep throat
don't respond to initial antibiotic treatment. Therefore, if
you continue to have a sore throat or mild fever after
treatment is completed, return for a second throat culture. If
it is positive, you will be given a different antibiotic.
When should I call my healthcare provider?
Call IMMEDIATELY if:
- You have great trouble swallowing (for example, you can't
swallow your saliva).
- You are feeling very sick.
Call during office hours if:
- The fever lasts over 48 hours after you start taking an
antibiotic.
- You have other questions or concerns.
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
Published by
RelayHealth.
Last modified: 2007-05-18
Last reviewed: 2008-06-09
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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