Figure 1. Group A Stretococcal Pharyngitis
Acute Pharyngitis
Suggestive of GAS
���
RADT
+
Suggestive of virus
Children & ���
Adolescents
+
Throat culture
Antibiotic therapy
PLUS
Adults
���
Symptomatic treatment
Allergic to penicillin
NO
YES
������ Amoxicillin or oral
penicillin x 10 days
OR
������ IM benzathine
penicillin
������ 1st generation cephalosporin x10 d
(if not anaphylactically allergic) ���
OR
������ Clindamycin x 10 d���
OR
������ Azithromycin x 5 d or clarithromycin
x10 d
