Acute pharyngitis

Patient instructions should be tailored to the specific aetiology of acute pharyngitis. Patients should be instructed to expect that their symptoms will improve within 3 or 4 days. There is no need for bed rest or isolation, although close contacts who have symptoms of group A Streptococcus pharyngitis or who have had rheumatic fever or post-streptococcal glomerulonephritis previously should be tested. Analgesics can be used for symptoms of sore throat, headache, and fever, although aspirin should be avoided in children because of its association with Reye syndrome. Patients with GAS pharyngitis should not return to their work/school unless they are afebrile and have received antibiotic therapy for at least 12 to 24 hours.[4]Centers for Disease Control and Prevention. Pharyngitis (strep throat). Jun 2022 [internet publication]. https://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html ​ The American Academy of Pediatrics advises that children may return to school or daycare after taking antibiotics for at least 12 hours and if they are no longer feeling ill.[4]Centers for Disease Control and Prevention. Pharyngitis (strep throat). Jun 2022 [internet publication]. https://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html [97]American Academy of Pediatrics. Red book 2024-2027: report of the committee on infectious diseases. May 2024 [internet publication]. https://publications.aap.org/redbook?autologincheck=redirected