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Strep throat is diagnosed from your medical history, a physical examination of your throat, and a lab test, such as a throat culture.

Sometimes a rapid strep test is used to check for strep. Your doctor may confirm the results of the rapid strep test with a throat culture.

Current treatment guidelines recommend that

your

doctor confirm strep throat with a lab test, such as a throat culture, and not just diagnose strep throat from your symptoms. But your doctor may begin treatment for strep throat before the result of your throat culture is back if you have three or four of the following symptoms: A recent fever of 38.3°C (101°F) or higher White or yellow spots or coating on the throat or tonsils Swollen or tender lymph nodes on the neck Absence of signs of a cold or upper respiratory infection , such as coughing or sneezing. One or both of the following tests are used to confirm that you have strep throat. Throat culture is a test to find germs (such as strep bacteria) that can cause an infection. A sample of cells from the

back

of your throat is added to a substance that promotes the growth of bacteria. Rapid strep test analyzes the bacteria in your throat to see buy amoxicillin liquid if strep is the cause of your sore throat. The doctor uses a cotton swab to gather cells from the back of

your

throat for testing. The rapid strep test is not used in many parts of Canada. If symptoms of strep throat are present, it is important to be tested for strep infection.

Prompt treatment will reduce the spread of strep throat and may reduce the risk of complications, such as the infection spreading to other parts of your body causing ear or sinus infections or an abscess behind or around your tonsils ( peritonsillar abscess ). The rapid strep test is not used in many parts of Canada. If you need to be tested for strep throat and the rapid strep test is available, it may help to discuss with your doctor the advantages and disadvantages of each test.

For instance, results from a rapid strep test are available within 10 to 15 minutes, and results from a throat culture may take 1 to 2 days.

A negative rapid strep test result can mean there are no strep bacteria present. But the rapid strep test can give negative results even when strep bacteria are present ( false-negative test results).

If the rapid strep test result is negative but strep throat is still suspected, your doctor may order a throat culture to verify the results. If the rapid strep test result is positive, a throat culture isn't needed. But they shorten the time you are able to spread the disease to others. Antibiotics also lower

the

risk of spreading the infection to other parts of your body.

Testing is not needed: After antibiotic treatment, unless you still have symptoms.

Testing may be done if symptoms return or you have had rheumatic fever and are at risk for it coming back. For a person who was exposed to strep but has no symptoms. For instance, family members of a person who has strep throat do not need to be tested unless they start to have symptoms. It is possible for a person to carry the strep bacteria and not have any symptoms.

If a number of infections occur in the same family, or if there have been severe complications such as rheumatic fever or toxic shock syndrome , it may be helpful to test family members to learn whether they are carriers of strep infection. But it is unusual for a person to catch strep throat from a carrier.

Antibiotics such as amoxicillin, cephalexin, or penicillin are used to treat strep throat. Antibiotics work only against bacterial infections such as strep throat. They will not help sore throats caused by allergies or viral infections such as colds.

Antibiotics are commonly used to: Kill the bacteria and shorten the time you are contagious.

You are typically no longer contagious 24 hours after you start antibiotics. Although uncommon, strep bacteria can spread to other parts of your body, causing ear or sinus infections or an abscess behind or around the tonsils ( peritonsillar abscess ).

Antibiotics may also prevent the infection from triggering your immune system to attack itself and cause serious conditions such as rheumatic fever . Relieve discomfort and

speed

healing to some degree. Antibiotic treatment can begin immediately if a strep infection is confirmed by a rapid strep test.

But there is no harm in waiting for the results of a throat culture to confirm strep throat before starting antibiotic treatment. In fact, it is better to wait until strep throat has been confirmed so that antibiotics are not used unnecessarily.

Although waiting to treat strep throat may prolong the time you have the illness, delaying treatment for a few days doesn't increase the risk of rheumatic fever or other complications. Your doctor also may recommend non-prescription medicines such as acetaminophen or anesthetic throat sprays to help relieve the pain and discomfort caused by strep throat. Acetaminophen and ibuprofen are different products with different dosing recommendations.

Talk to your child's doctor before switching back and forth between doses of acetaminophen and ibuprofen. When you switch between two medicines, there is a chance your child will get too much medicine.

Studies have not shown any added benefit from alternating these medicines.

To avoid getting strep throat, it is a good idea to avoid contact with anyone who has a strep infection.

Wash your hands often when you are around people with colds or viral or bacterial illnesses.

Do not share toothbrushes or eating and drinking utensils. Bacteria are almost always transmitted by contact with tiny droplets from an infected person.

Strep throat is passed from one person to another by contact with the tiny droplets of an infected person's cough, sneeze, or breath. Bacteria can also live for a short time on doorknobs, water faucets, and other objects.

If you touch an infected object and then touch your eyes, nose, or mouth, you can become infected with the bacteria or virus. Keep up your body's resistance to infection with a good diet, plenty of sleep, and regular exercise. Managing stress can also strengthen your body's ability to fight off illness, such as strep throat. Humidify your home during the dry winter months or year-round if you live in a dry climate.

Moisture in the air (humidity) helps keep your mucous membranes moist and more resistant to bacteria.

You can use a humidifier in the bedroom while you sleep. But use care if a person in the home has asthma or allergies, because mould or other particles that collect in

the

humidifier can make these conditions worse.

Smoke irritates the throat tissues and may make you more likely to get infection.

Your doctor may have prescribed an antibiotic for strep throat.

This amoxicillin for pregnant will help prevent the infection from coming back and will prevent complications of infection that could occur if you do not take the medicine as prescribed.

There are many ways that you can make yourself feel better while you are waiting for the strep infection to go away. Drink plenty of fluids and increase humidity (moisture in the air) in your home to help keep your throat moist.

Herbal teas formulated for colds may help relieve symptoms.

You are still

contagious

and might pass the infection to others. Take non-prescription medicines to relieve a painful sore throat and reduce fever.

Try an over-the-counter anesthetic throat spray or throat lozenges, which may help relieve throat pain. Do not offer throat lozenges to young children as they are a choking hazard.

If your child is younger than age 2, ask your doctor if you can give your child numbing medicines. For more information on non-prescription medicines and other ways to relieve sore throat symptoms, see the topic Strep Throat: Home Treatment. For the first 24 hours after you start taking an antibiotic, you are still contagious.

You can avoid

passing

the strep throat infection to others and reinfecting yourself by: Avoiding sneezing or coughing on others.

Using tissues you can throw away, not handkerchiefs.

You

can also clean your toothbrush well before using it again.

Bacteria can collect on the bristles and reinfect you.

Antibiotics are the treatment of choice for a confirmed strep throat infection.

Antibiotics will reduce the time you are contagious. You are usually not contagious 24 hours after starting antibiotics.

Antibiotic treatment for

strep

throat can also help prevent some of the rare complications related either to the strep infection itself or to the body's immune response to the infection.

Complications of strep throat are rare but can occur, especially if strep throat is not properly treated. Antibiotics may shorten the time you are sick by about one day.

Antibiotics may be used in the following situations: You have had a positive rapid strep test or positive throat culture. You have three or more of the following signs or symptoms: A recent fever White or yellow spots or coating on the throat or tonsils Swollen or tender lymph nodes on the neck Absence of signs of a cold or other upper respiratory illness, such as coughing or sneezing You have recently had rheumatic fever and

have

been exposed to strep. Several family members are having repeated strep infections as confirmed by positive throat cultures.

It is possible for you to carry the strep bacteria in the throat and not have any symptoms.

Antibiotics for the carrier state are usually not needed unless you have a history of rheumatic fever or frequent infections or infections are occurring frequently in the family.

Antibiotics such as amoxicillin, cephalexin, or penicillin are used to treat strep throat infection.

Immediate treatment with an antibiotic after a positive rapid strep test may not make you well faster. But it will shorten the time you

are

able to spread the disease to others.

Antibiotics also lower the risk of the infection spreading to other parts of your body. But there is no harm in delaying medicine treatment 1 to 2 days to wait for the results of a throat culture.

Antibiotics will prevent rheumatic fever even if it is started up to 9 days after symptoms begin.

If strep throat continues to recur, you and your doctor may decide that you need surgery to remove the tonsils (tonsillectomy). Surgery is considered when you: Have recurring episodes of strep throat or tonsillitis in a single year despite antibiotic treatment.

Have abscesses around the tonsils that do not respond to drainage, or if an abscess is present in addition to other signs that you may need tonsillectomy.

Have persistent bad odour or taste in the mouth, which is caused by tonsillitis that does not respond to antibiotics. Need a biopsy to evaluate a suspected tumour of the tonsil.

Large tonsils are not an indication for tonsillectomy unless they are causing one of the above problems or they are blocking the upper airway, which can cause sleep apnea or problems with eating. Tonsillectomy may be done in some cases of strep throat. An abscess around the tonsils ( peritonsillar abscess ) may be treated with a simple procedure in which a small incision is made to drain the abscess, although removing the tonsils is appropriate in some of these cases. Tonsillectomy is no longer routine for children who have frequent sore throats.

Surgery has been shown to reduce the number of throat infections for 2 years. But over time many children who did not have surgery also had fewer throat infections. When you are trying to decide whether to have your or your child's tonsils removed, consider: How much time you or your child is missing from work or school because of throat infections. How much stress and inconvenience the illness places on the family.

The risks of surgery must also be weighed against the risks of leaving the tonsils in. In some cases of persistent strep throat infections, especially if there are other complications, surgery may be the best choice. Medically reviewed by Dr Umer Khan, MD who is a Board Certified physician practicing in Pennsylvania.

His special interests include wellness, longevity and medical IT. Antibiotics are the best way to get rid of strep throat.

So if you’re worried you or your child may have strep throat it’s important to know which antibiotics are going to get the job done.

Read on to learn which antibiotics are typically prescribed for strep throat.



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