New strep throat guidelines tackle antibiotic resistance

New strep throat guidelines tackle antibiotic resistance
Most sore throats are actually caused by viruses.

(HealthDay)—Doctors need to accurately diagnose and treat strep throat in order to avoid inappropriate use of antibiotics that can lead to drug-resistant bacteria, according to updated guidelines from the Infectious Diseases Society of America.

People often say they have strep throat. Most sore throats are caused by a virus, however, not by Streptococcus bacteria, and should not be treated with antibiotics, which are ineffective against viruses, noted an IDSA news release.

Research shows that up to 15 million people in the United States go to the doctor for a sore throat every year. As many as 70 percent of patients receive antibiotics for a sore throat, but only 20 percent of those patients have strep throat, according to the IDSA.

The guidelines also advised that when a is confirmed by testing, it should be treated with penicillin or —if the patient does not have an allergy—and not with an antibiotic such as cephalosporin.

"We recommend penicillin or amoxicillin for treating strep because they are very effective and safe in those without ," lead author Dr. Stanford Shulman, chief of at the Ann & Robert H. Lurie Children's Hospital of Chicago, said in the news release.

Other antibiotics more likely to lead to drug resistance also are more expensive, Shulman added.

Children who have recurrent strep throat should not have their tonsils removed solely to reduce the frequency of throat infections, according to the guidelines.

Patients with a do not need to be tested for strep throat if they have a cough, runny nose, hoarseness or mouth sores. These are strong signs of a viral infection.

The guidelines, published online Sept. 10 and in the October issue of the journal Clinical Infectious Diseases, also outline what tests to conduct if strep throat is suspected and how to treat the condition.

More information: The U.S. National Institute of Allergy and Infectious Diseases has more about strep throat.

cid.oxfordjournals.org/content… 9/06/cid.cis629.full

add to favorites email to friend print save as pdf

Related Stories

Think locally when treating individually

Sep 19, 2011

By taking local biosurveillance data into account when assessing patients for communicable diseases, doctors may be able to make better diagnostic decisions, according to researchers at Children's Hospital Boston. For instance, ...

Obsessing over strep throat in kids

Oct 20, 2010

A common infection in children, strep throat can lead to problems with a child's heart, joints or brain if left untreated. And when the brain is involved, motor and mental functioning may be compromised, leading to syndromes ...

Recommended for you

Liberia holds Senate vote amid Ebola fears

4 hours ago

Health workers manned polling stations across Liberia on Saturday as voters cast their ballots in a twice-delayed Senate vote that has been criticized for its potential to spread the deadly Ebola disease.

Evidence-based recs issued for systemic care in psoriasis

Dec 19, 2014

(HealthDay)—For appropriately selected patients with psoriasis, combining biologics with other systemic treatments, including phototherapy, oral medications, or other biologic, may result in greater efficacy ...

Bacteria in caramel apples kills at least four in US

Dec 19, 2014

A listeria outbreak believed to originate from commercially packaged caramel apples has killed at least four people in the United States and sickened 28 people since November, officials said Friday.

Steroid-based treatment may answer needs of pediatric EoE patients

Dec 19, 2014

A new formulation of oral budesonide suspension, a steroid-based treatment, is safe and effective in treating pediatric patients with eosinophilic esophagitis (EoE), according to a new study in Clinical Gastroenterology and Hepatology, the official clinical practice journal ...

Discovery of genes that predispose a severe form of COPD

Dec 19, 2014

A study by Ramcés Falfán-Valencia, researcher at the National Institute of Respiratory Diseases (INER), found that the mestizo Mexican population has a number of variations in certain genes that predispose ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.