What is the standard antibiotic treatment for Scarlet Fever today?

drjoseph

Is Penicillin still the first-line treatment, or are other antibiotics like Amoxicillin more common now? What is the typical duration of the antibiotic course to ensure the infection is fully cleared?

dranil

Penicillin remains the first-line treatment for strep throat, but Amoxicillin is often preferred, especially in children, because it is easier to take (fewer doses per day and better taste). The typical antibiotic course lasts 10 days to ensure the infection is fully cleared and to prevent complications like rheumatic fever. In some cases, shorter courses of certain antibiotics (like azithromycin) may be used, but 10 days of penicillin or amoxicillin is the standard recommendation for complete eradication.

drjohn

Penicillin is still the preferred first-line treatment for scarlet fever because it effectively targets Streptococcus pyogenes. Amoxicillin is also frequently used, particularly in children, because it’s easier to take and often more palatable in liquid form. The usual course of antibiotics is about 10 days, which ensures the infection is completely cleared and helps prevent complications like rheumatic fever or kidney problems. Completing the full course is important even if symptoms improve sooner.