Antibiotics for Strep Throat: Do We Need Them?
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- čas přidán 22. 07. 2024
- What happens if you don't treat strep throat with antibiotics? If you miss the diagnosis of strep throat, what kind of complications can you expect, and how likely are they? Should you be worried about acute rheumatic fever, and why? Why are there such significant differences between different guidelines from different countries regarding the diagnosis and treatment of strep throat and the approach to a sore throat?
In this video, you will learn to recognize signs of severe illness in patients with a sore throat:
• Sore Throat: Red Flags
Every clinician has to be able to recognize life-threatening infections like sepsis and CNS infections right away! This free online course teaches you just that! If you work with patients, don't put this off! You will need what you learn in this course the very next shift!
A Clinical Approach to Serious Infections in Adults: What Every Physician Should Know:
drviktorkotarski.podia.com/re...
DISCLAIMER: Please, always keep in mind that my videos are intended for educational purposes only. The content of my videos is NOT medical advice. I do not practice medicine over the Internet. If you are a patient and have any questions about your health, please talk to your doctor.
CHAPTERS:
00:00 Why do we overuse antibiotics for a sore throat?
00:37 Suppurative complications of strep throat
02:20 Acute rheumatic fever (ARF): is it still a threat?
04:01 Why is acute rheumatic fever so uncommon in high-income countries?
05:32 You will miss some patients with strep throat
REFERENCES & RECOMMENDED READING:
1. Overview | Sore throat (acute): antimicrobial prescribing | Guidance | NICE [Internet]. NICE; 2018 [cited 2023 Aug 12]. Available from: www.nice.org.uk/guidance/ng84
2. Shulman ST, Bisno AL, Clegg HW, Gerber MA, Kaplan EL, Lee G, et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis. 2012 Nov 15;55(10):1279-82.
3. Ou Z, Yu D, Liang Y, Wu J, He H, Li Y, et al. Global burden of rheumatic heart disease: trends from 1990 to 2019. Arthritis Res Ther. 2022 Jun 11;24(1):138.
4. Palafox B, Mocumbi AO, Kumar RK, Ali SKM, Kennedy E, Haileamlak A, et al. The WHF Roadmap for Reducing CV Morbidity and Mortality Through Prevention and Control of RHD. Glob Heart. 2017 Mar;12(1):47-62.
5. Coutinho G, Duerden M, Sessa A, Caretta‐Barradas S, Altiner A. Worldwide comparison of treatment guidelines for sore throat. Int J Clin Pract. 2021 May;75(5):e13879.
Praying for the people who have strep throat like me😢
it's brutal innit?
argh in agony
@@Veronica-gg7zb i rather have the flu, than to have strep throat. That shit is brutal.
Me 😭
Just got my dose of abx 😢
Here in the Philippines if you have strep throat . You need to eat a semi-ripe papaya-the one that is still crisp and dip it into vinegar with salt. Your swollen tonsil or throat will get better after few hours maybe could cure after 24 hrs. Even it is so painful to swallow, just still swallow the papaya with vinegar and salt. Ofcourse, need to chew it before swallowing it. It's very effective! Believe me.
We sliced the papaya into small. I eat half of the papaya for better results.
I have to say strep throat is whooping my ass over here
Hope you took antibiotics. Strip throat can kill you.
Its the worse man. I rather have covid than strep throat.
Best treatment to Strep Throat is to Gargle with Turmeric, Black Pepper and Rock Salt boiled water. While gargling, your Uvula must be dipped into the Lukewarm Gargle Water, because Streptococcus Bacteria mostly attacks or catched by Uvula which gets swollen during this infection. This treatment must be followed as soon as possible after you gets the Sore Throat symptoms.
My favorite doctor
Antiseptic gargles or salt & pepper gargles rend to relieve some symtpoms without antibiotics in some to most cases unless severe..
There is a huge need for common guidelines and clear guidelines in order to reduce the overuse of antibiotics. Centor criteria are vague that's why nobody trusts it in everyday practice. A percentage is never accepted. Either you have strepto or not. I once saw a patient 40 years old, in Greece, who had shortly after infection a heart valve damage and needed surgery. He was given antibiotics by a doctor who uses ab for every patient- but the problem is that when he was given the ab, he had minimal symptoms, no fever, and probably did not justify the use of ab. The one who had the greatest problem had symptoms that did not justify the use of ab. Cases like that lead to overuse.
I got strep throat recently and as a scientist in the medical field of course I was like "🤔 I wonder what happens if..." 😄 so I didn't get antibiotics, isolated myself (of course), dealt with the fever, headaches and face pressure. But my god...the feeling of swallowing two lumps of Play-doh was Miserable. Uuuugh... 😞 I drank green tea with honey and lemon constantly, moping around moaning "Uuuugh this suuucks 😞" But I wanted to see how long my immune system would take to overrun it. It took about 4 days before I started feeling like it had begun taking over the illness and things were looking up, like I could get up and move around a little more. Then the next day more, and better. After a week, I was healing extremely well and doing good. No headaches, no face pressure/pain. Tonsil swelling gone down a LOT, with just a little streak here and there left. I concluded that historically, antibiotics made me feel better 2 days faster and that was it. They do say your're not contagious after having antibiotics in your system for 24 hours which allows you to be out and around people if you WANT or HAVE to but I didn't want to and didn't have to because I isolated and called in from work using sick days. So it all worked out because I gave it time since I had time and decent immunity to give. And patience. Of course, not everybody wants to deal with all that 🤣 But it was an interesting "adventure" for me.
@pandaangry1267So you're going to tell this scientist in the medical field that something wasn't smart? You're proving how unintelligent you are just by doing that.
Thank you for being an n-1 an sharing your experience. Unfortunately for me I had to work the first day of the worst symptoms and had to go the office the next day. I had the razorblade swallowing but also ice pick stabbings all over my head, as well as full body ache, and unable to sleep or hydrate, so my doc did a swab and diagnosed Strep and put me on antibiotics and steroids and also toridal for the pain, because I was unable to complete sentences from the frequency of the stabbing pains. I'm due to see my neurologist in a couple of weeks. i like the idea of home remedies as much as the next person and use them when I have a long wait for a doctor, but being unable to just take several days off from work, I appreciate having antibiotics available.
Thank you ❤
my GP couldn't recognise my strep throat, now i am suffering so bad
I caught strep on my birthday 3/25 and it came on quickly by the time I got to urgent care they had me rushed to the er after checking vitals because my heart rate was extremely high and low blood pressure I was going septic from strep had to get intravenously antibiotics I don’t wish this on no one it was horrible felt like razors and glass was being swallowed I never had strep before 😞
In India, people usually gets this infection in Summer season after drinking Roadside Juice or Dirty Water.
@@ashutoshmahajan4864 What is the duration of antibiotics course?
Girl my birthday is tomorrow and I'm done for the count smh
@@nittierae543 hope you feel better smh also what helps with strep if you are taking antibiotics listerine will also help because it kills the bacteria
I've been hours from death and this mother fucking throat pain tops that by miles.
Yeah this throat pain will drive you insane.
Probably cause strep is consistent pain for days
Sepsis and toxic shock and meningitis is serious. Best to have them checked.
Yes I went septic before in 2022 and died for 7 mins then I went septic again 3/29/24 from strep I’m the unfortunate one who can’t just not take antibiotics because my immune system overreacts with any infection and cause sepsis 😭
It can happen only in Immunocompromised Peoples.
Thanks Doctor. My son is 11. When he was 6 he had strep 4 times in 6 months but nothing since. Two months ago he had strep. At the same time he also had RSV and Flu A. (Doctor asked if he was a carrier and we said we didn't think so). We took our son to the doctor today and he tested + for strep. He was complaining of a sore throat but had no fever. He complains on and off about leg pain so we thought that was growing pains. I hear can also be a symptom of strep. Hard to differentiate leg pain. Not so black and white
Same here right now and I'm 39. The leg pain is bad.
@@elle_9136hey did you get better?
Or has the arthritie migrated?
@@elle_9136the leg pain kicks in 5-6 days after strep infection how is it going for you?
These guidelines are all stupid. If the symptoms are severe enough the doctor should immediately take a swab and culture it in a lab to identify the type of bacterial infection. A lot of throat infections are easily confused with strep and doctors still blindly prescribe antibiotics for strep. I have that happen to me, the doctors kept trying different antibiotics until they found the right one. I could not believe how primitive our "modern medicine" is: randomly try stuff until something sticks. Get the diagnose right first and foremost: is the infection viral or bacterial? Then monitor it, how severe is it? is it self limiting? if not, the exact strain needs to be identified and treated immediately.
Wow Sir you are good at your work. My daughter has strep throat at the moment,2-3 time and I will send her your video so she can understand that you don’t need antibiotics all the time. Thank you wise human ✨💫🙏
no he was saying you SHOULD definitely take anti-biotics if you have strep throat, just not necessary with any old sore throat, if your daughter has strep then get her antibiotics ASAP
@@noklarokI’ve just listened again and he did say if you’re symptoms are not severe, then you can treat it without antibiotics. My daughter does have them as a preventative and I said to her if you think you need them take them. I thank you for your concern and comments,🫡
LOL@@noklarok
SHES GOING TO DIE
@@noklarok
i have Mononucleosis and streptococcus both at once, went to the doctor and they tested me and told me i have both, the worst sick i have ever experienced. i literally cant eat anything, i have had two spoons of soup in the last two days
Are you better now? I am having difficulty swallowing. So hard instead of swallowing spit, I just spit it out instead. Then I drink water in quick gulps, which is counterintuitive but helps. And only eat food through swallowing.
@@benbraceletspurple9108 yeah i feel good now, i used voltaren so it would hurt less, that way i got to eat something. Just try to drink and eat when possible. It will get much better after a couple days on antibiotics
So far I've had the pleasure of discovering an allergy for 4 different anti-biotics. So default for me is no anti-biotics. Not looking for another visit to the emergency room wuth anaphylaxis again. And the one that we know I can use is is expensive as hell and a last resort one they normally reserve for multi resistant bacteria.
This is the worst. I get it every like 6 years. Last time I let my body do it because it kept coming back from amoxicillin. Just left the dr, with penicillin. I hate feeling like this, it feels like death lol.
I tell u i drank salt every day , worked , if u try sea salt only guys ,celtic is the best ,
You drank salt water everyday or you just gargled your throat with it?
@@umeriqbal8269 drink, u can do both, its very good for u , look up barbra o Neil she talks about how good it is for u , great for braking up mucus as well,
Both @@umeriqbal8269
@umeriqbal8269 you can drink it pink salt is good for
@umeriqbal8269 plus when you sweating so much you loose alot of salt and we do need that..
Considering step turns into scarlet fever… I’d imagine it’s a necessity to take an antibiotic.
It can but it doesn't always happen.
My antibiotics not helping it’s got me weak and sick
That's cause they're poison.
Here in the Philippines if you have strep throat . You need to eat a semi-ripe papaya-the one that is still crisp and dip it into vinegar with salt. Your swollen tonsil or throat will get better after few hours maybe could cure after 24 hrs. Even it is so painful to swallow, just still swallow the papaya with vinegar and salt. Ofcourse, need to chew it before swallowing it. It's very effective! Believe me.
We sliced the papaya into small. I eat half of the papaya for better results.
this is stupid lol Im from the Philippines. dont make this false statement
Unfortunately antibiotics will lower your immune system and you will keep getting sick 😢 you should only take antibiotics if there is an infection and if you are not given a strong dose, you will need to take a stronger course… it can take 4 weeks or more to get better. The best thing is to keep gargling with salt water or an antiseptic every 6 hours, drink lots of warm liquids, soups with ginger, garlic and thyme is very good, even if it’s a vira infectionl. I hope you are all better now.
Two rounds of antibiotics, first 3 months ago, second 1 week ago, still white spots and all the synroms, can't eat , extreme weekness, doctors don't care, I'm afraid
Any swelling or inflammation?
I finished my antibiotics, second course, & I am now seeing white super small pebble sized white dots, almost like tonsil stones developing.
@@MinoxJoen yes, and white spots, a few of them
@@MinoxJoen the same as me! (after 10 day full course of amox
Are you going back to the Clinic to get re examined? Because I know taking too many antibiotics is very bad for you
Second day😢 No insurance
Are you feeling better?:(
You do realize you can go to the doctor and pay cash for their services. Why does everyone think you can’t get treated if you have no insurance? It’s a service after all. I don’t have insurance but I pay out of pocket, it’s cheaper than insurance anyways!!
@@doinaveres3685 Of course I know that I can pay cash. But I'd rather pay my mortgage, and bills then trust all the toxic drugs the hospital pushes. I'm on the road 24/7.
@@ValeryValentinaa Thank I am feeling better
@@doinaveres3685in the United States one visit to the er is $4000 minimum with no health insurance, a visit to urgent care is around $1000 with no insurance, with insurance a visit to the er cost nothing, and urgent care is only a $40 copayment.
I got strep three times. Antibiotics twice now I give up
How's everything now ?