You are an APN in a Quick Care Clinic. Mom brings Joey, her eight-year-old son,
ID: 246838 • Letter: Y
Question
You are an APN in a Quick Care Clinic. Mom brings Joey, her eight-year-old son, in for possible GAS pharyngitis. You notice that Joey has been seen and treated multiple times this year for the same condition. Your clinic does not have the ability to culture, and mom refuses the rapid test “because it is always negative, but I know he has it.”
According to the article by the Infectious Disease Society of America, how would you treat Joey? Be sure to support your answer. Could he be a chronic pharyngeal carrier?
Explanation / Answer
Since a number of bacterial and viral pathogens can cause inflammation of the pharynx and hence gas pharyngitis and we don"t have a facility for culturing and finding the exact causative agent the best thing to do in this situation is to give a broad spectrum antibiotic along with probiotics to control the infection. Give an antipyretic to control fever.
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