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The Role of Antibiotics to Prevent Non-Suppurative Complications of Streptococcal Infections

german translation / full article

Christoph Gögele

Question

Is it justified to treat group A beta-haemolytic streptococcal infections with antibiotics, specifically to prevent non-suppurative complications (acute glomerulonephritis, acute rheumatic fever)?

Answer

The international guidelines substantially agree, that in industrialised countries, the use of antibiotics, specifically to prevent non-suppurative complications is not justified. However antibiotics should not be withheld in severe cases of primary infection, if suppurative complications arise, in potentially dangerous situations, in patients at risk as well as in certain unusual circumstances, such as epidemics.


(State: 16.11.2012)

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