Strep throat is a bacterial infection of the throat and tonsils by a group of bacteria known as group A Streptococcus. It is a highly contagious infection which can be spread through respiratory droplets via coughing and sneezing but even simply talking. It is therefore important not to use the same items handled by the infected person such as plates and drinking cups. It can also be spread through direct contact as often those infected develop skin sores filled with fluid which are highly infectious. If symptoms include a runny nose and a cough, it is unlikely to be strep A, and probably a viral infection. Unfortunately, some people can carry the bacteria without any symptoms. To prevent the spread of infection, wash your hands regularly, covering your mouth and nose with tissue when sneezing or coughing and dispose of this immediately.
The symptoms include flu-like symptoms such as a fever, swollen glands, and a sore throat as well as an aching body, nausea, and vomiting. Some people also develop a rash that is rough to the touch (known as scarlet fever) as well as scabs and sores (known as impetigo).
Strep A infections last between 3 and 5 days and are usually treated with a course of antibiotics. After 24 hours of antibiotics the chances of infecting others are reduced, and it is safe to get back to school or work. Paracetamol and Ibuprofen can be used to relieve discomfort in both children and adults. However, children that exhibit deteriorating symptoms should be seen for an emergency appointment with their GP as soon as possible or call 111 for urgent enquiries. Such symptoms to watch out for are drinking and eating less than normal, peeing less than is usual, and no signs of improvement. Immediate medical observation is necessary if your baby is under 3 months with a temperature of 38C, or 3-6 months with a temperature of 39C or more. It is always best to seek medical advice if you are unsure.
