Managing a Child with a Sore Throat

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Antibiotics are only needed for streptococcal sore throats to prevent complications such as rheumatic fever. A streptococcal sore throat presents as tender enlarged lymph nodes in front of the neck and a white exudate on the tonsils.

Sore throat but no swollen tender glands in neck and no pus on tonsils

  • No antibiotics.
  • Give paracetamol for pain.
  • Feed child normally, continue breastfeeding.
  • Give plenty of fluids.

Sore throat with swollen tender glands in neck or pus on tonsils (age> 2 years)

Give antibiotic:

 

Medicine

Paed dose 

Frequency

Duration 

 

 

 

procaine penicillin im

 

< 1yr: ½mls (150mg)

 

 

 

once a day

 

 

 

 

 

 

5 days then penicillin V for 5 days

 

 

 

1 to 3yrs: 1ml (300mg) 

3 to 5yrs: 1½mls (450mg)

or

 

 

amoxicillin

 

 

<3yrs = 125mg 

 

 

3 times a day

 

 

 

 

10 days

 

 

>3yrs = 250mg

>12yrs = 500mg
  • Give paracetamol for pain.
  • General / home care & feed child as above