Late relapse or Recurrent
- Continuous antibiotic prophylaxis is not recommended.
- Many relapses are viral. Ensure that the throat swab is still positive.
Usual Pathogens
Group A Streptococci
| Empiric Therapy | Duration | |
|---|---|---|
| If can take tablets: | ||
| Penicillin VK | ≤ 27kg: 300 mg per dose PO 2 or 3 times per day | |
| > 27kg: 600 mg per dose PO 2 or 3 times per day | ||
| If suspension required: | ||
| Amoxicillin | 50mg/kg PO once daily (or 25mg/kg 2 times per day) (maximum 1000mg per day) |
Penicillin allergy
| Empiric Therapy | Duration | |
|---|---|---|
| 40mg/kg/d PO div bid | 10 days |
Penicillin and cephalexin allergy
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Clindamycin | 20mg/kg/d PO div tid | 10 days |