Health & Medical Medications & Drugs

Update on the Management of Streptococcal Pharyngitis

´╗┐Update on the Management of Streptococcal Pharyngitis

Etiology, Risk Factors, and Transmission


While respiratory viruses such as adenovirus, influenza virus, para-influenza virus, respiratory syncytial virus, and rhinovirus are the most common causes of acute pharyngitis, GAS is by far the most common cause of bacterial pharyngitis and is generally referred to as strep throat (Table 1). Streptococcal pharyngitis is rare among children under the age of 3 years when signs and symptoms suggestive of viral infections (discussed later in the article) are present. It occurs most commonly among children older than 5 years and among young adolescents in winter and early spring when the weather is usually colder.Neisseria gonorrhoeae can cause pharyngitis in sexually active persons. Other risk factors for pharyngitis include crowded environments such as schools and exposure through household contacts. The primary mechanism of spread is via respiratory droplets; however, food-borne outbreaks have been well described.

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