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Heath and Wellness

Strep Throat: When Are Antibiotics Needed? ALWAYS!

By Dr. Kelly A. Johnson, MD 

Since we are about to begin another school year, I decided to discuss a topic that never goes out of season: Strep throat.  Despite the fact that it seems to be more common in the winter months, it is with us all year around. I know that makes us all cringe a little bit.  It’s miserable for everyone, spreads easily to family and friends, and usually means at least one day of missed school.

Strep throat is a bacterial infection of the tonsils that is spread from person to person through direct saliva (i.e. , eating, drinking, and kissing).  Surfaces of water fountains can become contaminated and spread the illness over an entire class or school. Everyone knows the classic symptoms of Strep throat, sore throat and fever.  But there are actually five symptoms of Strep and they can all occur together, or in any combination.  It’s not always what you expect. The five signs are sore throat, fever, rash, stomach pain, and headache.  The stomach pain is sometimes accompanied by nausea and vomiting. The rash usually starts on the face or chest and is fine and sandpaper- like in feel.  It can be easily missed.  If your child develops any of these symptoms (alone or together) for more than two to three days, they need to have a Strep test. If they have been exposed to Strep, then don’t wait. Children without tonsils can still get Strep throat as well.

For children under 21, untreated Strep infections can cause long-term heart, kidney, and brain disorders that are unfortunately untreatable. Adults who have young children at home should also be vigilant about being treated for their children’s safety.

To help prevent the spread, children should not eat or drink after one another.  They should never share toothbrushes.  A new toothbrush is always needed after about two to three days of antibiotic treatment for an active infection so they do not re-infect themselves.

If your child has a tendency to contract Strep throat more than two or three times a year, you may want to discourage them from using water fountains and have them bring their own water bottle to school and sporting activities.

If your child does get Strep throat, it is mandatory that they stay home for 24 hours once treatment is started.  Not following this rule is the main reason Strep throat is almost epidemic during the school year.

If you have further questions, need an appointment or want to read previous newsletters, go to my website at www.pedihousecalls.com.

 

 

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