BREAKING NEWS

06 June 2010

STREPTOCOCCAL PHARYNGITIS

STREPTOCOCCAL SORE THROAT
Group A streptococcus or Strep A.
secrete 70+ variety of enzymes or toxins
common to abusing voice

Causative Agent:
Group A beta hemolytic Streptococcus

Modes of Transmission:
Droplet
Direct contact – discharges form respiratory passages; saliva

Signs and Symptoms:
sudden onset
high-grade fever, rapid pulse, chills
enlarge, tender cervical lymph nodes
inflamed tonsils with whitish muco-purulent exudates
headache, abdominal pain
beefy red throat

Diagnostic Exam:
throat culture – det strep throat to a patient
throat swab – det antigen

Nursing Care:
bedrest, no sweets
oral hygiene with oral antiseptic or with saline gargle, saline solution – 1 glass lukewarm water + 1 tsp rocksalt taken 3 - 4x a day

Prevention:
Avoid MOT

Complications:
Rheumatic Heart Disease
Acute Glomerulonephritis

Treatment:
Erythromycin – oral 10 days
Single shot IM Benzathine (Penicillin) 1.2 MU single dose (adult)

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