Reader Remarks on:

Preventing Rheumatic Fever: A New Guideline from the AHA

Culture for GAS
adults and amoxicilline
Timing
Response to queries
strep treatment
Prevention of Acute Rheumatic Fever

Culture for GAS

HAI PHUOC LE, EDMONTON,ALBERTA,CANADA, 3 Apr 2009 9:14 AM EST

Competing interests: None declared

If pretest probability is high, why should culture ( or rapid antigen test ) be performed /

adults and amoxicilline

jasna mv, 12 Apr 2009 3:46 AM EST

Competing interests: None declared

so 1gr once a day if they have more then 20kg even if they have 100kg? is that correct?

Timing

werner kaiser, practician, 12 Apr 2009 1:02 PM EST

Competing interests: None declared

after taken culture start with antibiotic therapy instantly?

Response to queries

Howard Bauchner, BUSM and Associate Editor, Journal Watch Pediatrics and Adolescent Medicine, 14 Apr 2009 11:47 AM EST

Competing interests: None declared

1. Guidelines still suggest a positive rapid strept or culture - even if high pretest probability; would never excede 50-75% confirmation. 2. According to guideline - Table 2 - maximum dose is 1 gram. 3. Can culture and treat - although data about relief of symptoms with antibiotics is minimal.

strep treatment

Sydney R Sewall, Kennebec Pediatrics, 1 Jan 2010 1:23 PM EST

Competing interests: None declared

What the cephalexin vs. penicillin "controversy" -- ie. the empirical evidence (metaanalysis) suggesting lower failure rate with cephalexin?

Prevention of Acute Rheumatic Fever

Bob Gorman, 31 Mar 2011 2:26 PM EST

Competing interests: None declared

Specialty: General Practice

Do adults over the age of 30 need to be treated with appropriate antibiotics(e.g. Penicillin/Amoxicillin) for a Rapid Strep positive test in order to prevent Acute Rheumatic Fever?

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