{"id":18293,"date":"2021-01-21T11:01:14","date_gmt":"2021-01-21T16:01:14","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=18293"},"modified":"2021-01-25T11:16:10","modified_gmt":"2021-01-25T16:16:10","slug":"strep-throat-in-kids","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/strep-throat-in-kids\/","title":{"rendered":"The parent\u2019s guide to strep throat in kids"},"content":{"rendered":"<p><i><span style=\"font-weight: 400;\">Endless coughs and sneezes, runny noses, and unexplained itchy bumps\u2014kids seem to be a magnet for germs. In our parent\u2019s guide to childhood illnesses, we talk about the symptoms and treatments for the most common conditions. Read the full series<\/span><\/i> <a href=\"https:\/\/www.singlecare.com\/blog\/tag\/common-childhood-illnesses\/\" target=\"_blank\" rel=\"noopener nofollow noreferrer\"><i><span style=\"font-weight: 400;\">here<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">.<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"#whatis\">What is strep throat?<\/a> | <a href=\"#symptoms\">Symptoms<\/a> | <a href=\"#complications\">Complications<\/a> | <a href=\"#diagnosis\">Diagnosis<\/a> | <a href=\"#treatments\">Treatments<\/a> | <a href=\"#prevention\">Prevention<\/a> | <a href=\"#recurrent\">Recurrent strep throat infections<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cMy throat hurts.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When your child says this, it\u2019s likely your mind immediately jumps straight to strep throat. While it is not the only potential reason for a<\/span>\u00a0<a href=\"https:\/\/www.singlecare.com\/conditions\/sore-throat-treatment-and-medications\"><span style=\"font-weight: 400;\">sore throat<\/span><\/a><span style=\"font-weight: 400;\">, it is common\u2014and worrisome. With treatment it\u2019s rarely serious, but strep throat in kids usually means time off school or day care, a trip to the doctor, and a round of antibiotics. In other words, it\u2019s not fun for anyone involved.<\/span><\/p>\n<h2 id=\"whatis\"><span style=\"font-weight: 400;\">What is strep throat?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Strep throat is an infection caused by a type of bacteria called group A streptococcus. This bacteria is responsible for<a href=\"https:\/\/kidshealth.org\/en\/parents\/strep-throat.html\"> 20% to 30% of all sore throats<\/a>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cStrep throat is very contagious,\u201d says<\/span> <a href=\"http:\/\/drsomamandal.com\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Soma Mandal<\/span><\/a><span style=\"font-weight: 400;\">, MD, a board-certified internist at Summit Medical Group in Berkeley Heights, New Jersey. \u201cTypically, the bacteria spreads through sneezing and coughing.\u201d It can also be spread by the sharing of personal items such as cups and utensils with someone who has strep throat.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Anyone can catch strep throat, but it\u2019s more common in children. \u201cKids and teenagers are more prone to it, since they<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/news\/why-kids-get-sick-at-school\/\"><span style=\"font-weight: 400;\">go to school with larger groups<\/span><\/a><span style=\"font-weight: 400;\">,\u201d Dr. Mandal says. It is most common in ages 5 to 15 years old and rare in children less than 3 years old.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Parents can absolutely catch<\/span> <a href=\"https:\/\/www.singlecare.com\/conditions\/strep-throat-treatment-and-medications\"><span style=\"font-weight: 400;\">strep throat<\/span><\/a><span style=\"font-weight: 400;\"> from their children, so take care to avoid exposure while caring for a child with strep throat. With antibiotic treatment, strep throat in kids is usually contagious for<\/span> <a href=\"https:\/\/www.nationwidechildrens.org\/conditions\/strep-throat\" target=\"_blank\" rel=\"noopener nofollow noreferrer\"><span style=\"font-weight: 400;\">24 to 48 hours<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cStrep throat will usually resolve without antibiotics within seven to 10 days, but there is increased risk of other conditions (like rheumatic fever) and a person stays contiguous for two to three weeks,\u201d says Toni Brayer, MD, FACP, an internal medicine physician in San Francisco.<\/span><\/p>\n<h2 id=\"symptoms\"><span style=\"font-weight: 400;\">Strep throat symptoms in children<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Symptoms of strep throat can be mild or severe. They typically appear<\/span> <a href=\"https:\/\/www.mountsinai.org\/health-library\/diseases-conditions\/strep-throat\" target=\"_blank\" rel=\"noopener nofollow noreferrer\"><span style=\"font-weight: 400;\">three to five days<\/span><\/a><span style=\"font-weight: 400;\"> after exposure to the bacteria.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most common symptoms of strep throat are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever that may begin suddenly and is often the highest on the second day<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chills<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Red, sore throat that may have white patches or pus<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Throat pain when swallowing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Swollen, tender neck lymph nodes<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Other symptoms can include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Red, swollen, bumpy tongue with enlarged tastebuds (called strawberry tongue)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tiny red spots on the back roof of the mouth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache, irritability, or fussiness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sleeping more than usual<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor appetite, nausea, or vomiting, particularly in younger children<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Scarlatina (scarlet fever)\u2014a red rash on the body that feels rough like sandpaper and may appear 12 to 48 hours after the first symptoms<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Some or all symptoms may be present with strep throat.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If your child has runny nose, cough, congestion, itchy eyes, muscle or body aches, or other cold symptoms, then it is not likely to be strep throat.<\/span><\/p>\n<h2 id=\"complications\"><span style=\"font-weight: 400;\">Is strep throat serious?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cThe goal of treatment is to prevent complications,\u201d says Dr. Mandal. If strep throat is left untreated potential long-term complications include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Acute rheumatic fever (a disease that can affect the heart, joints, brain, and skin)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poststreptococcal reactive arthritis (an inflammatory condition that causes joint pain and swelling)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Scarlet fever (a rash that accompanies a strep infection along with strep throat symptoms)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Streptococcal toxic shock syndrome (a rare but serious bacterial infection)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Acute glomerulonephritis (a type of kidney disease)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pediatric autoimmune neuropsychiatric disorder (a neurological and psychiatric condition)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Because most cases of strep throat are treated with antibiotics before they progress, these complications are rare. Older children can often clear the infection without antibiotics without these complications.<\/span><\/p>\n<h2 id=\"diagnosis\"><span style=\"font-weight: 400;\">What should I do if my child has strep throat?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If your child is showing signs of strep throat, make an appointment or call a healthcare provider, typically a family doctor or pediatrician, ideally within the first one to two days of illness. \u201cIt is best to start the antibiotics within the first 48 hours of illness to reduce the symptoms and healing time,\u201d says Dr. Brayer.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The healthcare provider will do a physical exam that includes looking inside the child\u2019s throat, feeling the child\u2019s neck, and asking questions about the child\u2019s symptoms and health information. If strep is suspected, the healthcare provider will likely order strep tests. If there are signs of a viral or respiratory illness, it is not recommended to do strep testing. Also, testing is not recommended for children under the age of 3 years old or for adults.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cDoctors can either take a throat culture by swabbing the throat with a sterile swab and send it to the lab, which delays the diagnosis by about 24 to 48 hours, or they can do a rapid strep antigen swab test right in the office and get an immediate result,\u201d Dr. Brayer says. \u201cIf that rapid strep test is negative, but the symptoms point to strep, they may send a culture to the lab for confirmation anyway.\u201d<\/span><\/p>\n<h2 id=\"treatments\"><span style=\"font-weight: 400;\">Treatments for strep throat in kids<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Strep throat can go away without antibiotics, especially in older children, but untreated strep throat puts the child at greater risk of more serious complications and increases the time the child is contagious.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Strep throat is typically treated with a 10-day course of antibiotics, usually<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/penicillin-v-potassium\"><span style=\"font-weight: 400;\">penicillin<\/span><\/a><span style=\"font-weight: 400;\"> or<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/amoxicillin\"><span style=\"font-weight: 400;\">amoxicillin<\/span><\/a><span style=\"font-weight: 400;\">. Sometimes the provider will opt to treat the child with one (intramuscular) shot of penicillin. If the child has an allergy to penicillin or amoxicillin, other antibiotics, such as cephalosporins, can be tried. It is important to take the entire course of antibiotics, even once symptoms are gone.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to antibiotic treatment, some things that can help make the child feel better and promote healing include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Administer over-the-counter (OTC) medications, such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/childrens-advil\"><span style=\"font-weight: 400;\">Advil<\/span><\/a><span style=\"font-weight: 400;\">,<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/childrens-motrin\"> <span style=\"font-weight: 400;\">Motrin<\/span><\/a><a href=\"https:\/\/www.singlecare.com\/prescription\/ibuprofen-childrens\"><span style=\"font-weight: 400;\"> (<\/span><span style=\"font-weight: 400;\">ibuprofen<\/span><\/a><span style=\"font-weight: 400;\">), or<\/span> <a href=\"https:\/\/www.singlecare.com\/prescription\/tylenol-childrens\"><span style=\"font-weight: 400;\">Tylenol<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/childrens-acetaminophen\"><span style=\"font-weight: 400;\">acetaminophen<\/span><\/a><span style=\"font-weight: 400;\">) for pain relief and fever reduction. Do not give a child aspirin as this can result in a rare but serious condition called<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/reyes-syndrome\/\"><span style=\"font-weight: 400;\">Reye\u2019s syndrome<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Encourage fluids to prevent dehydration. <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">(Ginger ale is a popular choice, but water is the best option. Avoid acidic drinks such as orange juice and other citrus drinks.)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Offer warm liquids, such as caffeine-free lemon tea, and adding honey (for children over age 2).<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Offer frozen ice treats such as popsicles, or throat lozenges for older children and teens. Avoid giving them to young children because they can choke on them.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gargle with salt water for children who are over age 6 (and are able to spit instead of swallow).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use a cool-mist vaporizer or humidifier to help with dryness and soothe a<\/span>\u00a0<a href=\"https:\/\/www.singlecare.com\/blog\/home-remedies-for-sore-throat\/\"><span style=\"font-weight: 400;\">sore throat<\/span><\/a><span style=\"font-weight: 400;\">. Always use cool-mist, never warm or hot.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Provide soft, easy to swallow foods for the child to eat.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Encourage the child to get lots of rest.<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/home-remedies-for-sore-throat\/\"><b>25 sore throat remedies<\/b><\/a><\/p>\n<h2 id=\"prevention\"><span style=\"font-weight: 400;\">How to prevent strep throat in kids<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As with all contagious illnesses, good hygiene goes a long way to prevent the spread of strep throat. To help prevent strep throat spreading from infected individuals to healthy ones:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Encourage proper and frequent handwashing (for everyone!)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Teach your child to cover all sneezes or coughs. Ideally, a tissue should be used. If one isn&#8217;t available, sneezing or coughing into a shirtsleeve will do. Don\u2019t sneeze or cough into hands (if kids use their hands, have them wash their hands.)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Keep an infected child\u2019s eating utensils, dishes, and drinking glasses separate from the rest of the family\u2019s. Wash them in hot, soapy water after each use.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Make sure an infected child doesn&#8217;t share food, drinks, napkins, handkerchiefs, toys, or towels with other family members or anyone else. This is a good habit to get into even when everyone is healthy to help prevent catching illnesses from others.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Toss your child\u2019s toothbrush after the antibiotic treatment starts and the child is no longer contagious. Replace with a new one.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">School-age children with strep throat should<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/how-to-keep-your-kids-healthy-all-year-long\/\"><span style=\"font-weight: 400;\">stay home from school<\/span><\/a><span style=\"font-weight: 400;\">. \u201cChildren are very contagious when they are ill with strep throat,\u201d says Dr. Brayer. \u201cThey can<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/back-to-school-health-tips\/\"><span style=\"font-weight: 400;\">return to school<\/span><\/a><span style=\"font-weight: 400;\"> when they no longer have a fever and have taken antibiotics for at least 24 hours and feel well. Remember that is a full 24 hours.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Mandal recommends keeping children home from school for even longer. \u201cIf a child is diagnosed with strep throat, they should remain at home until they have been on antibiotics for at least 48 hours,\u201d says Dr. Mandal. \u201cThis would prevent the spread of strep to other children.\u201d<\/span><\/p>\n<h2 id=\"recurrent\"><span style=\"font-weight: 400;\">Can strep throat recur?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Anyone can catch strep throat again throughout their lives, but some children experience recurrent strep throat, which involves being diagnosed with strep throat more than seven times in a single year. This is often treated by a<\/span>\u00a0<a href=\"https:\/\/www.singlecare.com\/blog\/is-it-tonsillitis\/\"><span style=\"font-weight: 400;\">tonsillectomy<\/span><\/a><span style=\"font-weight: 400;\"> (the removal of the child\u2019s tonsils.) It is important that strep throat is verified with lab testing (rapid strep or throat culture) to avoid unnecessary antibiotics and procedures. For some children, strep infections continue after surgery. This can<\/span> <a href=\"https:\/\/www.afcurgentcare.com\/about\/national-blog\/2018\/march\/why-your-strep-throat-keeps-coming-back\/\" target=\"_blank\" rel=\"noopener nofollow noreferrer\"><span style=\"font-weight: 400;\">be caused by<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Antibiotic resistance:<\/b><span style=\"font-weight: 400;\"> Stopping antibiotics before the end of treatment can cause the bacteria to develop a resistance to the drug, making the antibiotics less effective.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Weakened immune system: <\/b><span style=\"font-weight: 400;\">This can make your child more susceptible to disease, including strep throat.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hidden carrier:<\/b><span style=\"font-weight: 400;\"> Some people are asymptomatic carriers of the strep bacteria. It\u2019s possible the child is in regular close contact with a strep carrier.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Reinfection from dental tools:<\/b><span style=\"font-weight: 400;\"> Failing to replace a child\u2019s toothbrush and properly disinfecting the adjacent objects such as the toothbrush holder can reintroduce the strep bacteria.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Strep throat is a common and unpleasant illness in children that can also spread to adults. Left untreated, it can have serious complications. Thankfully, with a course of antibiotics, good hygiene, and some good old-fashioned TLC, kids with strep throat usually feel better within a few days, and fully recover in about 10 days.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Endless coughs and sneezes, runny noses, and unexplained itchy bumps\u2014kids seem to be a magnet for germs. In our parent\u2019s guide to childhood illnesses, we talk about the symptoms and treatments for the most common conditions. Read the full series here. What is strep throat? | Symptoms | Complications | Diagnosis | Treatments | Prevention [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":18035,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[19608,8905],"coauthors":[8622],"class_list":["post-18293","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-common-childhood-illnesses","tag-seasonal","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>The parent\u2019s guide to strep throat in kids<\/title>\n<meta name=\"description\" content=\"Strep throat in kids is common and treatable, but it\u2019s unpleasant for children. Here\u2019s how to help relieve symptoms and avoid recurrent infections.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/strep-throat-in-kids\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The parent\u2019s guide to strep throat in kids\" \/>\n<meta property=\"og:description\" content=\"A sore throat can be caused by a lot of things\u2014how to know if it&#039;s strep\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/strep-throat-in-kids\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2021-01-21T16:01:14+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-01-25T16:16:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2021\/01\/Blog_011921_parent_guide_to_strep_throat.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Heather M. 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