Spectrum: Local Antimicrobial Stewardship, for Fraser Health

Pharyngitis / Tonsillitis

Likely Pathogens

S. pyogenes (Group A strep)

Empiric Antibiotic Options

Penicillin V 8.5 to 16.5 mg/kg PO TID

OR

Amoxicillin 8.5 to 16.5 mg/kg PO TID

Penicillin Allergy*

Clindamycin 7 to 13 mg/kg PO TID

OR

Clarithromycin 7.5 mg/kg PO BID

*Avoid all beta-lactams antibiotics (ie cephalosporins, carbapenems) if anaphylaxis to penicillin