Template:Streptococcal Pharyngitis Antibiotics

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Treatment can be delayed for up to 9 days and still prevent major sequelae

Penicillin Options:[1]

  • Penicillin V 250mg PO BID x 10d (child) or 500mg BID x 10d (adolescent)
  • Bicillin L-A 25-50K mg/kg IM x 1 (max dose = 1.2million)

Penicillin allergic (mild):[1]

  • Cefuroxime 10mg/kg PO QID x 10d (child) or 250mg PO BID x 4d

Penicillin allergic (anaphylaxis):[1]

  • Clindamycin 7.5mg/kg PO QID x 10d (child) or 450mg PO TID x 10d OR
  • Azithromycin 12mg/kg QD (child) or 500mg on day 1; then 250mg on days 2-5


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