Strep Throat
Courtney Carter
/ Categories: WELLNESS, 2024

Strep Throat

Signs, Symptoms, and Treatments

A common bacterial infection, strep throat prompts an estimated 5.2 million Americans  to visit the doctor each year, and results in nearly 3 million antibiotic prescriptions.

In addition to being incredibly painful, untreated strep can lead to serious complications including pneumonia, meningitis, kidney inflammation, infections of the ear and sinuses, rheumatic fever, and more. Which is why it’s important to act promptly when you suspect strep.

While anyone can get strep, it’s most common in school-aged children 5-15 years of age.

Spread by direct contact and respiratory droplets that an infected person puts into the air when they cough, talk or sneeze, strep is considered VERY contagious.  It can spread quickly in a variety of close-proximity settings including daycares, schools, afterschool programs, and workplaces where people work side-by-side. Strep throat typically develops 2 to 5 days after exposure to the bacteria. 

 

While symptoms can vary, common signs include:

  • Sudden, severe sore throat pain

  • Difficulty swallowing

  • A fever up to 100.4°F

  • Swollen lymph nodes on the front of your neck.

  • Tonsil Changes, including red, swollen tonsils, possibly with white or yellow spots

  • Red Spots on the roof of the mouth 

Other potential symptoms may include fatigue, headache, stomachache and sometimes vomiting, especially in younger children. In some cases, a rash may appear on the neck, armpit, or groin.

It's important to note that strep throat typically does not cause coughing or a runny nose. These symptoms are more common with a viral infection than a bacterial strep infection.

Fortunately, diagnosing and treating strep is relatively easy.

 

DIAGNOSIS

Strep is diagnosed using one of two tests: rapid strep test or a throat culture.

Both tests involve taking a swab of the throat. While a rapid test offers quick results—about 15 minutes—it’s not as comprehensive as a throat culture, which may take 24 hours to analyze. In fact, if a rapid test is negative but a patient’s symptoms suggest a strep, very often a throat culture will be ordered to confirm the results.

 

TREATMENT

The standard treatment for strep is antibiotics, typically penicillin or amoxicillin. Patients typically start to feel better in one to two days after taking their first dose. It is very important to complete the full course of antibiotics even if the patient starts to feel better.

People with strep throat should stay home and isolate until their fever has subsided AND they’ve taken antibiotics for at least 24 hours to prevent infecting others. In addition, you should replace your toothbrush after taking antibiotic for 24 hours.

 

Myth Buster

Despite the long-held notion that once you’ve had strep, you can’t get it again, it is possible to become re-infected.

So, even if you’ve already had strep, you still need to take precautions to protect yourself and others.

 

If your symptoms don't improve or get worse after 24-48 hours of antibiotic treatment or you develop new symptoms, such as swelling in the neck or face, difficulty swallowing even saliva, or trouble opening your mouth, contact your doctor immediately.

 

 Kristin Andrew, FNP-BC, is a member of the care team at Southwestern Vermont Medical Center Pediatrics

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SVMC Creates Virtual Waiting Room to Encourage Distancing

BENNINGTON, VT—May 29, 2020—Starting Monday, many people who need in-person appointments at Southwestern Vermont Health Care's (SVHC) hospital and clinics will no longer need to use traditional waiting rooms. A virtual system created by the hospital allows patients to call 802-447-5000 when they arrive in the parking lot and receive a text message when their provider is ready to see them.

SVMC's outpatient and inpatient surgeries and diagnostic services, like those for imaging and laboratory work, have resumed with enhanced safety protocols per the directive of Governor Phil Scott. The health system's emergency department, ExpressCare, emergency surgical services, and most of its primary and specialty practices remained open during the pandemic.

"SVHC has provided safe, high-quality care throughout the pandemic." Said Thomas A. Dee, FACHE, Southwestern Vermont Health Care’s (SVHC) president and CEO. "Innovation has been an important part of providing care during these extraordinary times and this new program decreases the number of people in our waiting rooms and allows them to stay the recommended 6 feet apart or more."

In order to use the virtual waiting room, patients must be able to wait in their vehicle and have a charged cell phone with them. They will receive the virtual waiting room telephone number during their appointment-reminder telephone call. Signs outside the building and at the respiratory check-in stations inside the main hospital and medical office building entrances will also include the number to call.

Patients simply call the number when they arrive in the parking lot and wait in their cars. When the provider is ready to see them, they will receive a text message alert to indicate that they should come in.

"We love that we can use the same technology that most people carry with them to help people stay socially distanced," said Gail Balch, RN, who directs information technology at SVMC. "It's through innovations like this one that we are able to resume services safely and ensure patients receive the care they need."

Hospital and clinic staff anticipate that the new program will allow greater distance between people who must use traditional waiting rooms, including those who walked or took public transportation to their appointment and those who do not have a cell phone.

Additional safety protocols indicate that all patients should arrive to the hospital or clinic with their own cloth face covering. Face coverings must be worn over the mouth and nose for the entire duration of patients' visits. Patients should also come alone, unless they absolutely need assistance from a loved one.

For questions about how to resume or initiate elective care, call your primary care provider or the specialist directly. For a list of providers, visit svhealthcare.org/physician-directory.

Patients with cough or shortness of breath or any two of the following—fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell—should contact their primary care provider or the COVID-19 Informational Hotline at 802-440-8844 before arriving to either their provider’s office or the hospital. For a detailed list of safety protocols, frequently asked questions, visitor guidelines, and COVID-19 information, visit svhealthcare.org.

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