Diferencia entre revisiones de «Template:Streptococcal Pharyngitis Antibiotics»

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(Convert to {{AntibioticDose}} for SMW antibiotic-disease linking)
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''Treatment can be delayed for up to 9 days and still prevent major sequelae''
''Treatment can be delayed for up to 9 days and still prevent major sequelae''
 
'''[[Penicillin]] Options:'''
'''[[Penicillin]] Options:'''
*[[Penicillin V]] 250mg PO BID x 10d (child) or 500mg BID x 10d (adolescent or adult)<ref name=Shulman12>Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82</ref><ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*{{AntibioticDose|drug=Penicillin V|dose=250mg PO BID x 10d (child) or 500mg BID x 10d (adolescent or adult)|context=Penicillin Options}}<ref name=Shulman12>Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82</ref><ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*[[Bicillin L-A]] <27 kg: 0.6 million units; ≥27 kg: 1.2 million units IM x 1 <ref name=Shulman12>Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82</ref><ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*{{AntibioticDose|drug=Bicillin L-A|dose=<27 kg: 0.6 million units; ≥27 kg: 1.2 million units IM x 1|context=Penicillin Options}}<ref name=Shulman12/><ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*[[Amoxicillin]] 50 mg/kg once daily (maximum = 1000 mg) for 10 days<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*{{AntibioticDose|drug=Amoxicillin|dose=50 mg/kg once daily (maximum = 1000 mg) for 10 days|context=Penicillin Options}}<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>


'''[[Penicillin]] allergic (mild):'''
'''[[Penicillin]] allergic (mild):'''
*[[Cephalexin]] 20 mg per kg PO BID (maximum 500 mg per dose) x 10 days<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*{{AntibioticDose|drug=Cephalexin|dose=20 mg per kg PO BID (maximum 500 mg per dose) x 10 days|context=Penicillin Allergy (mild)}}<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*[[Cefadroxil]] 30 mg per kg PO QD (maximum 1 g daily) x 10 days<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*{{AntibioticDose|drug=Cefadroxil|dose=30 mg per kg PO QD (maximum 1 g daily) x 10 days|context=Penicillin Allergy (mild)}}<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>


'''[[Penicillin]] allergic (anaphylaxis):<ref name=Shulman12>Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82</ref>'''
'''[[Penicillin]] allergic (anaphylaxis):<ref name=Shulman12/>'''
*[[Clindamycin]] 7 mg/kg/dose TID (maximum = 300 mg/dose) x 10 days<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*{{AntibioticDose|drug=Clindamycin|dose=7 mg/kg/dose TID (maximum = 300 mg/dose) x 10 days|context=Penicillin Allergy (anaphylaxis)}}<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*[[Azithromycin]] 12 mg/kg PO once (maximum = 500 mg), then 6 mg/kg (max=250 mg) once daily for the next 4 days<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*{{AntibioticDose|drug=Azithromycin|dose=12 mg/kg PO once (maximum = 500 mg), then 6 mg/kg (max=250 mg) once daily for the next 4 days|context=Penicillin Allergy (anaphylaxis)}}<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*[[Clarithromycin]] 7.5 mg/kg/dose PO BID (maximum = 250 mg/dose) x 10 days<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>
*{{AntibioticDose|drug=Clarithromycin|dose=7.5 mg/kg/dose PO BID (maximum = 250 mg/dose) x 10 days|context=Penicillin Allergy (anaphylaxis)}}<ref>CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html</ref>

Revisión del 20:52 19 mar 2026

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

Penicillin Options:

Penicillin allergic (mild):

  • Cephalexin 20 mg per kg PO BID (maximum 500 mg per dose) x 10 days[5]
  • Cefadroxil 30 mg per kg PO QD (maximum 1 g daily) x 10 days[6]

Penicillin allergic (anaphylaxis):[1]

  • Clindamycin 7 mg/kg/dose TID (maximum = 300 mg/dose) x 10 days[7]
  • Azithromycin 12 mg/kg PO once (maximum = 500 mg), then 6 mg/kg (max=250 mg) once daily for the next 4 days[8]
  • Clarithromycin 7.5 mg/kg/dose PO BID (maximum = 250 mg/dose) x 10 days[9]
  1. ↑ 1.0 1.1 1.2 Shulman, et al. Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2012;55(10):1279–82
  2. ↑ CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html
  3. ↑ CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html
  4. ↑ CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html
  5. ↑ CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html
  6. ↑ CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html
  7. ↑ CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html
  8. ↑ CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html
  9. ↑ CDC Website, accessed 2026-28-01. https://www.cdc.gov/group-a-strep/hcp/clinical-guidance/strep-throat.html
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