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Notifiable disease reporting. When and how to notify SA Health of cases including deaths suspected of having or diagnosed with notifiable conditions. Streptococcal sore throat is a bacterial infection of the throat and tonsils caused by Streptococcus pyogenes. Streptococci are spread when an infected person talks, coughs or sneezes small droplets containing infectious agents into the air. The droplets in the air may be breathed in by those nearby.
The droplets may contaminate hands or objects such as drinking cups or eating utensils. Sometimes spread occurs by eating contaminated food. Sometimes spread occurs by direct contact with infected wounds or skin sores. Scarlet fever All the symptoms of throat infection plus a fine red rash, which first appears as tiny red bumps on the chest and abdomen.
This rash may then spread all over the body.
It looks like sunburn and feels like a rough piece of sandpaper. It is usually more red in the armpits and groin areas. The rash lasts about 2 to 5 days. After the rash is gone, often the skin on the tips of the fingers and toes begins to peel. Pharyngitis and tonsillitis are common in children aged 5—15 years, whereas pyoderma occurs more frequently in children aged less than 5 years.
Streptococcal disease (Group A beta-haemolytic streptococcus)
Most people in their lifetime will develop a GAS throat or skin infection, and many of the throat infections may be subclinical. People with chronic illnesses such as cancer and diabetes, those on kidney dialysis, and those who use medications such as steroids have a higher risk than healthy people. There is an increased risk of infection in varicella chickenpox. There are currently no vaccines available. Foodborne disease can be prevented by pasteurising milk and milk products, and careful preparation and storage of high-risk foods, particularly eggs.
Treatment is dependent on the clinical presentation and severity of disease. Evidence has accumulated that antibiotics may not always be indicated in pharyngitis or tonsillitis. The current version of Therapeutic guidelines: antibiotic should be consulted before treatment. People with skin lesions should be excluded from food handling until infection has resolved. Consider the diagnosis in symptomatic contacts. At present, the role of antibiotic prophylaxis for close contacts of cases of invasive GAS infection is not established.
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IDSA Updates Guideline for Managing Group A Streptococcal Pharyngitis
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National suicide prevention implementation strategy As one part of making suicide prevention a priority, all governments have committed to drafting a new national suicide prevention strategy for Australia: the National suicide prevention implementation strategy.