Tonsillopharyngitis - Acute Follow Up

Monitoring

Follow-up and repeat testing of asymptomatic patients after completion of antibiotic course is not typically necessary.  

Follow-up cultures or RADT are indicated in:

• Patients who remain asymptomatic
• Patients whose symptoms recur
• Patients with history of rheumatic fever
• Patients who develop acute pharyngitis during outbreaks of either rheumatic fever or post-streptococcal glomerulonephritis, or during outbreaks of GABS in close or partially closed communities
• Continual spread of infection within a family

Persistence of group A Streptococcus carriage in the face of an intercurrent viral infection, a new group A Streptoccus pharyngeal infection obtained from contacts, and non-compliance with treatment regimen should be considered if recurrent episodes occur.