A member asked:

Child can't rid of strep throat was on amoxil then augmentin (amoxicillin and clavulanate) and off fir a couple days and throat hurting again? will be 3 time in 6wks what to do?

2 doctors weighed in across 2 answers

Need culture: Group a strep, the bacteria that causes 'strep throat' is still universally sensitive to pcn. However, other bacteria can cause pharyngitis and acute tonsillitis, as well as many viruses. If child not getting better, would get back with doc and see if you need a full culture or evaluation for other causes such as mono(caused by ebv virus and can sometimes give false positive result strep test).

Answered 2/8/2014

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Need to confirm stre: Needs a culture for bacterial throat infection.Take a more detail hx/pe and determine associated ros emphasis : inflammation does mean infection but both infection and inflammation cause pain. Sensitivities to a positive culture can ease appropriate tx.

Answered 2/9/2014

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