The goals of treatment for pharyngitis are to;
· Improve clinical signs and symptoms,
· minimize adverse drug reactions,
· prevent transmission to close contacts, and
· prevent acute rheumatic fever and suppurative complications, such as peritonsillar abscess, cervical lymphadenitis, and mastoiditis
Monitoring of Pharyngitis Therapy
· Most pharyngitis cases are self-limited; however, antibiotics hasten resolution when given early for proven cases of GAS pharyngitis.
· Generally, fever and other symptoms resolve within 3 or 4 days of onset without antibiotics; however, symptoms will improve 16 hours to 2 days earlier with antibiotic therapy.
· Follow-up testing is generally not necessary for index cases or in asymptomatic contacts of the index patient.
· However, for patients who remain symptomatic or when symptoms recur despite completion of treatment, posttreatment throat cultures 2 to 7 days after completion of antibiotics should be done.
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