Strep Throat Exposure

When To Call

Call 911 Now

• Severe trouble breathing (struggling for each breath; can barely speak or cry)

Call Doctor or Seek Care Now

• Stiff neck or can't move neck like normal
• Great trouble swallowing fluids or spit
• Trouble breathing, but not severe
• Fever higher than 104° F (40° C)
• Dehydration suspected. No urine in more than 8 hours, dark urine, very dry mouth and no tears.
• Your child looks or acts very sick
• You think your child needs to be seen, and the problem is urgent. Note: a Strep test alone is not urgent.

Contact Doctor Within 24 Hours

• Sore throat pain is severe and not better 2 hours after taking ibuprofen
• Age less than 1 year old
• Earache or sinus pain (not just congestion)
• Mild symptoms that could be from Strep throat. (Some are sore throat, cries during feeds, large lymph nodes in the neck, fever)
• Sores present on the skin
• You think your child needs to be seen, but the problem is not urgent (or needs a Strep test)

Contact Doctor During Office Hours

• You have other questions or concerns

Self Care at Home

• Strep contact but no symptoms

Care Advice

Treatment for Contacts With Symptoms (Pending a Strep Test)

What You Should Know About Strep Exposure and Sore Throats:

• A Strep test is not urgent.
• It could be a Strep throat or just a viral infection of the throat.
• A sore throat is often part of a cold.
• Until you get a Strep test, here is some care advice that should help.

Sore Throat Relief:

• Age over 1 year. Can sip warm fluids such as chicken broth or apple juice. Some children prefer cold foods such as popsicles or ice cream.
• Age over 6 years. Can also suck on hard candy or lollipops. Butterscotch seems to help.
• Age over 8 years. Can also gargle. Use warm water with a little table salt added. A liquid antacid can be added instead of salt. Use Mylanta or the store brand. No prescription is needed.
• Medicated throat sprays or lozenges are generally not helpful.

Pain Medicine:

• To help with the pain, give an acetaminophen product (such as Tylenol).
• Another choice is an ibuprofen product (such as Advil).
• Use as needed.

Fever Medicine:

• For fevers higher than 102° F (39° C), give an acetaminophen product (such as Tylenol).
• Another choice is an ibuprofen product (such as Advil).
• Note: fevers less than 102° F (39° C) are important for fighting infections.
• For all fevers: keep your child well hydrated. Give lots of cold fluids.

Fluids and Soft Diet:

• Try to get your child to drink adequate fluids.
• Goal: keep your child well hydrated.
• Cold drinks, milk shakes, popsicles, slushes, and sherbet are good choices.
• Solids. Offer a soft diet. Also avoid foods that need much chewing. Avoid citrus, salty, or spicy foods. Note: fluid intake is much more important than eating any solids.
• Swollen tonsils can make some solid foods hard to swallow.

Return to School:

• Your child may have a Strep throat infection. Wait for the result of the rapid Strep test. If it is negative, your child can go back to school.

Call Your Doctor If:

• Your child becomes worse

Treatment for Contacts Without Symptoms

What You Should Know About Strep Exposure Without Symptoms:

• Many children have contact with someone with Strep throat. Most will not come down with an infection. This is especially true if the contact occurs outside the home.
• Strep tests are not needed for children without any symptoms.

Time It Takes to Get Strep Throat:

• Time from contact to Strep symptoms usually is 2 to 5 days.

Return to School:

• If your child has no symptoms, he does not need to miss any school.

Call Your Doctor If:

• Your child gets any Strep symptoms in the next 7 days

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