Group A Streptococcus (GAS)
[Clin Infect Dis 2008;46:e112-5]
- GAS is an uncommon cause of vulvovaginitis.
- Increased risk for GAS vulvovaginitis:
- prepubertal
- postpartum
- postmenopausal.
- Often related to current/recent case or household outbreak of respiratory/dermal GAS infection.
Usual Pathogens
S. pyogenes (Group A Strep)
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Penicillin VK | 600mg PO bid | 10 days |
Penicillin allergy
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Cefuroxime axetil | 500mg PO bid | 10 days |
Penicillin and cefuroxime allergy
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Clindamycin | 300mg PO tid | 10 days |