Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis

Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America^a

1. Stanford T. Shulman1, 
2. Alan L. Bisno2, 
3. Herbert W. Clegg3, 
4. Michael A. Gerber4,
5. Edward L. Kaplan5, 
6. Grace Lee6, 
7. Judith M. Martin7, and 
8. Chris Van Beneden8

+Author Affiliations

1. ¹Department of Pediatrics, Division of Infectious Diseases, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois
2. ²Department of Medicine, University of Miami Miller School of Medicine, Miami Veterans Affairs Healthcare System, Miami, Florida
3. ³Department of Pediatrics, Hemby Children's Hospital and Eastover Pediatrics, Charlotte, North Carolina
4. ⁴Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
5. ⁵Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota
6. ⁶Division of Infectious Diseases, Boston Children's Hospital, Boston, Massachusetts
7. ⁷Department of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania
8. ⁸Respiratory Diseases Branch, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

1. Correspondence: Stanford T. Shulman, MD, Department of Pediatrics, Division of Infectious Diseases, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, 225 E Chicago Ave, Chicago, IL 60611 (sshulman@northwestern.edu).

 

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Abstract

The guideline is intended for use by healthcare providers who care for adult and pediatric patients with group A streptococcal pharyngitis. The guideline updates the 2002 Infectious Diseases Society of America guideline and discusses diagnosis and management, and recommendations are provided regarding antibiotic choices and dosing. Penicillin or amoxicillin remain the treatments of choice, and recommendations are made for the penicillin-allergic patient, which now include clindamycin.

1. Clin Infect Dis. (2012)doi: 10.1093/cid/cis629First published online: September 9, 2012

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