Guidelines
Group A Streptococcus Pharyngitis

Group A Streptococcus Pharyngitis

Pathogen

Empiric Treatment

OR

OR

  • Children: 250 mg two to three times a day
  • Adolescents: 250 mg four times a day OR 500 mg twice a day

OR

  • <27 kg: 0.6 million units IM once
  • ≥27 kg: 1.2 million units IM once

Generally reserved for patients who are NPO or adherence concerns

OR

Max: 500 mg/dose

  • Note evidence has shown that this dose (12 mg/kg/DAY for 5 days) is more likely to be successful than the usual 10 mg/kg x 1 followed by 5 mg/kg x 4 days

Additional Considerations

Shorter treatment courses than recommended have increased risk of treatment failure