Sore Throats in Children
Evidence has shown that the majority of children with sore throats receiving medical attention receive antibiotics. However, only approximately 25% of these children have bacterial infection as the cause of the pain. Examination of the throat/tonsillar area has also been shown to not be a reliable indicator of bacterial infection. Most cases of exudative (pus) tonsillitis are in fact caused by viral infection.
Performing a rapid strep test and/or culture is still recommended as the standard in deciding whether to treat with antibiotics. Amoxicillin is the recommended drug. Keflex is recommended in cases of recurrence of strep infection. Keep in mind that prior drug reactions need to be
Sore throats should be evaluated medically because strep throats can lead to serious life-threatening cardiac and kidney disease. This potential probably is part of the reason clinicians will “overtreat” sore throats with antibiotics.