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Antibiotics for Strep Throat: Do We Need Them?

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: https://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: https://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.