<< Acute Rheumatic Fever: An Evidence-Based Approach to Diagnosis and Initial Management (Pharmacology CME)

Controversies And Cutting Edge

Antibiotics For Group A Streptococcus Pharyngitis

There is continued debate as to the effectiveness of primary prevention of ARF, with systematic reviews documenting significant reduction in attack rates of ARF.38 A more recent randomized study in New Zealand suggested no significant benefit in reducing the attack rate among New Zealand school children.46 It is important to recognize that the AHA Scientific Statement from 2009 continues to recommend antibiotic treatment for patients with documented GAS pharyngitis. For more information on pharyngitis in pediatric patients, see the December 2011 issue of Pediatric Emergency Medicine Practice entitled “An Evidence-Based Approach To The Evaluation And Treatment Of Pharyngitis In Children,” available at www.ebmedicine.net/pharyngitis.

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