Launching September 2027

Strep Throat

Strep Throat At A Glance

  • Strep throat is a bacterial infection of the throat and tonsils caused by Group A Streptococcus bacteria.
  • Symptoms often begin suddenly and may include severe sore throat, painful swallowing, fever, swollen tonsils, white patches, swollen neck glands, headache, and fatigue.
  • Unlike many viral sore throats, strep throat usually does not cause a cough or runny nose.
  • The bacteria spread through respiratory droplets, close contact, and sometimes shared food, drinks, or utensils.
  • Diagnosis is usually confirmed with a rapid strep test or throat culture because viral and bacterial sore throats can look similar.
  • Treatment with antibiotics helps shorten illness, reduce transmission, and prevent complications.

Table of Contents

Table of Contents

What Is Strep Throat?

Strep throat is a bacterial infection of the throat and tonsils caused by Group A Streptococcus (Group A Strep) bacteria. Unlike most sore throats, which are caused by viruses, strep throat requires treatment with antibiotics to shorten the illness, reduce the spread of infection, and prevent serious complications.

Strep throat is most common in school-aged children and teenagers, but adults can also become infected. It spreads easily through respiratory droplets when an infected person coughs, sneezes, talks, or shares food or drinks.

With prompt treatment, most people begin to feel better within 24–48 hours after starting antibiotics.

Learn More

Strep Throat – NIH MedlinePlus
https://medlineplus.gov/strepthroat.html

Provides easy-to-understand information about strep throat, symptoms, diagnosis, treatment, and prevention.

Group A Strep – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/group-a-strep/

Provides comprehensive information about Group A Streptococcus infections, treatment, and prevention.

How Common Is Strep Throat?

Strep throat is one of the most common bacterial infections of the throat. It accounts for approximately:

  • 20–30% of sore throats in children
  • 5–15% of sore throats in adults

Strep throat is most common during the late fall, winter, and early spring, when people spend more time indoors and respiratory infections spread more easily.

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Provides information about how common strep throat is and who is most likely to develop it.

What Symptoms Might You Notice?

Strep throat is one of the most common bacterial infections of the throat. It accounts for approximately:

  • 20–30% of sore throats in children
  • 5–15% of sore throats in adults

Strep throat is most common during the late fall, winter, and early spring, when people spend more time indoors and respiratory infections spread more easily.

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Provides information about how common strep throat is and who is most likely to develop it.

How Is Strep Throat Diagnosed?

Your healthcare provider will review your symptoms, perform a physical examination, and examine your throat and neck.

Because viral and bacterial sore throats can appear similar, laboratory testing is often needed to confirm the diagnosis before antibiotics are prescribed.

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Explains how strep throat is diagnosed and why testing is important.

Strep Throat infographic – click to enlarge

What Causes Strep Throat?

Strep throat is caused by Group A Streptococcus (Streptococcus pyogenes) bacteria.

The bacteria spread through:

  • Coughing
  • Sneezing
  • Close contact with infected individuals
  • Sharing drinks, utensils, or food
  • Touching contaminated surfaces and then touching your mouth or nose

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Learn how strep throat spreads and ways to reduce your risk.

What Can Make Strep Throat Worse?

Several factors may increase the risk of infection or complications.

Common risk factors include:

  • Close contact with someone who has strep throat
  • School or daycare attendance
  • Crowded living conditions
  • Weakened immune system
  • Delaying treatment
  • Not completing the full course of antibiotics

Learn More

Strep Throat – NIH MedlinePlus
https://medlineplus.gov/strepthroat.html

Provides information about risk factors and possible complications.

Prevention

Good hygiene and prompt treatment help prevent the spread of strep throat.

Helpful prevention tips include:

  • Wash your hands frequently with soap and water.
  • Avoid sharing food, drinks, utensils, or toothbrushes.
  • Cover coughs and sneezes.
  • Stay home until you have been taking antibiotics for at least 12–24 hours, your fever has resolved without fever-reducing medication, and you feel well enough to return to normal activities.
  • Clean commonly touched surfaces regularly.
  • Complete the full course of antibiotics as prescribed.

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Provides practical recommendations for preventing the spread of strep throat.

Learn More About Strep Throat

The following video content is provided to help you better understand this condition. These resources are intended for educational purposes and should not replace personalized medical advice from your healthcare provider.

Labs

Laboratory testing helps confirm whether Group A Streptococcus bacteria are causing your sore throat.

Common laboratory tests include:

  • Rapid Strep Test (Rapid Antigen Detection Test): Provides results within minutes.
  • Throat Culture: May be performed if the rapid test is negative but strep throat is still strongly suspected, especially in children.
  • Complete Blood Count (CBC): Occasionally used if another infection or complication is suspected.

Learn More

Laboratory Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides information about laboratory testing used to diagnose strep throat.

Diagnostics

Most people with strep throat do not require imaging or additional diagnostic testing.

Additional evaluation may be recommended if complications are suspected.

Common diagnostic tests may include:

  • Throat Examination: Evaluates redness, swelling, and enlarged tonsils.
  • Neck Examination: Checks for swollen lymph nodes.
  • Imaging Studies: Rarely needed but may be ordered if a deep neck infection or abscess is suspected.

Learn More

Strep Throat – NIH MedlinePlus
https://medlineplus.gov/strepthroat.html

Provides information about diagnosing strep throat and identifying complications.

Treatment & Management

Treatment Options

Treatment focuses on eliminating the bacterial infection, relieving symptoms, and preventing complications.

Treatment options may include:

  • Antibiotics
  • Rest
  • Increased fluid intake
  • Fever and pain medications
  • Warm salt-water gargles
  • Throat lozenges (when appropriate)
  • Soft foods until swallowing becomes more comfortable

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Provides information about treatment recommendations and antibiotic therapy.

Lifestyle Changes

Healthy habits help support recovery and reduce the spread of infection.

Helpful lifestyle changes include:

  • Get plenty of rest.
  • Drink plenty of fluids.
  • Finish your entire course of antibiotics.
  • Wash your hands frequently.
  • Avoid sharing utensils, drinks, or toothbrushes.
  • Replace your toothbrush after being on antibiotics for about 24–48 hours if recommended by your healthcare provider.
  • Stay home until you have been taking antibiotics for at least 12–24 hours, your fever has resolved without fever-reducing medication, and you feel well enough to return to normal activities.

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Provides recommendations for recovering safely and preventing the spread of strep throat.

Medications

Treatment usually includes antibiotics to eliminate the infection and prevent complications.

Common medications may include:

  • Penicillin: First-line treatment for most people with strep throat.
  • Amoxicillin: Commonly prescribed, especially for children.
  • Cephalexin: May be used for some individuals with certain penicillin allergies.
  • Azithromycin or Clarithromycin: Alternative antibiotics for people with certain penicillin allergies.
  • Acetaminophen: Helps reduce fever and relieve throat pain.
  • Ibuprofen: Helps reduce pain, inflammation, and fever (when appropriate).

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Provides information about antibiotics, treatment recommendations, and recovery from strep throat.

Procedures

Most people with strep throat do not require surgery or invasive procedures. Treatment usually consists of antibiotics, rest, and symptom management. However, certain procedures may be recommended if complications develop or if someone experiences frequent recurrent infections.

Common procedures may include:

  • Rapid Strep Test (Rapid Antigen Detection Test): A throat swab that provides results within minutes and helps determine whether Group A Streptococcus bacteria are present.
  • Throat Culture: If a rapid strep test is negative but strep throat is still suspected, a throat culture may be performed. Results usually take 24–48 hours.
  • Drainage of a Peritonsillar Abscess: If an abscess develops around the tonsil, a healthcare provider may need to drain the infection.
  • Tonsillectomy: Surgical removal of the tonsils may be considered for people with frequent recurrent strep throat or repeated complications.

Learn More

Group A Strep – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/group-a-strep/

Learn about strep throat testing, treatment, and complications.

What Should You Expect Long-Term?

Most people begin feeling better within 24–48 hours after starting antibiotics. It is important to complete the entire course of antibiotics, even if symptoms improve sooner.

Most people recover completely without complications. Untreated strep throat, however, can lead to serious conditions such as:

  • Rheumatic fever
  • Kidney inflammation (post-streptococcal glomerulonephritis)
  • Peritonsillar abscess
  • Ear infections
  • Sinus infections

Prompt diagnosis and treatment greatly reduce the risk of these complications.

What Can You Do At Home?

Home care helps relieve symptoms and supports recovery.

Helpful tips include:

  • Take your antibiotics exactly as prescribed.
  • Complete the full course of antibiotics.
  • Drink plenty of fluids.
  • Get plenty of rest.
  • Gargle with warm salt water several times a day if appropriate.
  • Eat soft foods if swallowing is painful.
  • Use throat lozenges if appropriate for your age.
  • Take fever or pain medications as directed.
  • Wash your hands frequently.
  • Replace your toothbrush after being on antibiotics for about 24–48 hours, if recommended by your healthcare provider.

Learn More

Strep Throat – NIH MedlinePlus
https://medlineplus.gov/strepthroat.html

Provides practical recommendations for recovering from strep throat and preventing spread.

Frequently Asked Questions

Is strep throat contagious?

Yes. Strep throat spreads easily through respiratory droplets and close contact with infected individuals.

When am I no longer contagious?

Most people are no longer considered contagious after

12–24 hours of appropriate antibiotic treatment

, their fever has resolved without fever-reducing medication, and they are feeling well enough to return to normal activities.

Can antibiotics help me feel better faster?

Yes. Antibiotics shorten the illness, reduce symptoms more quickly, decrease the spread of infection, and help prevent serious complications.

Can I get strep throat more than once?

Yes. Having strep throat once does not provide lifelong immunity, so future infections are possible.

Why is it important to finish all of my antibiotics?

Stopping antibiotics too early can allow the bacteria to survive, increase the risk of recurrence, and raise the risk of complications such as rheumatic fever.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • Do I definitely have strep throat?
  • Which antibiotic is best for me?
  • How long should I take my medication?
  • When am I no longer contagious?
  • When can I return to work, school, or other activities?
  • What symptoms should prompt me to seek medical care?
  • Do I need to replace my toothbrush?

Specialist Referrals

Most cases of strep throat are treated by a primary care provider. Depending on your symptoms or medical history, your provider may recommend seeing a specialist.

You may be referred to:

  • Primary Care Provider: Coordinates diagnosis, treatment, and follow-up care.
  • Otolaryngologist (ENT Specialist): Evaluates recurrent strep throat, enlarged tonsils, peritonsillar abscesses, or individuals who may benefit from tonsillectomy.
  • Infectious Disease Specialist: Evaluates severe, recurrent, or unusual Group A Streptococcus infections.

Learn More

Group A Strep – CDC
https://www.cdc.gov/group-a-strep/

Provides information about treatment, complications, and specialty care.

Is Strep Throat Curable?

Yes. Strep throat is curable with antibiotics. Most people recover completely when treatment is started promptly and the full course of antibiotics is completed.

Even if symptoms improve quickly, finishing the entire prescription helps prevent complications and reduces the risk of antibiotic resistance.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Difficulty breathing
  • Difficulty swallowing saliva or inability to swallow
  • Severe swelling of the throat or neck
  • Drooling due to inability to swallow
  • Severe dehydration
  • Loss of consciousness

Seek prompt medical evaluation if you notice:

  • Fever lasting longer than 48 hours after starting antibiotics
  • Worsening throat pain despite treatment
  • Swelling on one side of the throat
  • Difficulty opening your mouth
  • Rash after starting antibiotics
  • Symptoms that return after completing treatment

Learn More

Strep Throat – NIH MedlinePlus
https://medlineplus.gov/strepthroat.html

Learn about strep throat complications and when emergency medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Strep Throat – NIH MedlinePlus
https://medlineplus.gov/strepthroat.html

Easy-to-understand information about strep throat, symptoms, diagnosis, treatment, and prevention.

Group A Streptococcus (Group A Strep) – Centers for Disease Control and Prevention (CDC)
https://www.cdc.gov/group-a-strep/

Comprehensive information about strep throat, testing, antibiotics, complications, and prevention.

American Academy of Otolaryngology–Head and Neck Surgery (ENT Health)
https://www.enthealth.org/

Reliable patient education about recurrent tonsillitis, strep throat, and tonsillectomy.

American Academy of Pediatrics – HealthyChildren.org
https://www.healthychildren.org/

Trusted information for families about strep throat, sore throats, and childhood infections.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your symptoms worsen, do not improve after starting antibiotics, or if new symptoms develop. Call 911 immediately if you experience difficulty breathing, inability to swallow, severe throat swelling, loss of consciousness, or another medical emergency.

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