Streptococcal pharyngitis in rural practice. Rational medical management

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Abstract
The current medical concepts regarding group A [beta]-hemolytic streptococcal pharyngitis are well documented. These concepts can form the basis of rational medical management in rural general practice. This management is practical in regard to time and money expended, and private patients willingly cooperate. Of 1,052 patients with proved streptococcal pharyngitis, 1,045 (99%) received 10 full days of antibiotic therapy, and 808 (76.6%) returned for follow-up cultures. Of 633 families involved, 503 (79.2%) families had every household contact cultured, and 567 (89.5%) of the families had at least 75% of household contacts cultured. Since adoption of this management, the incidence of rheumatic fever has apparently decreased sharply in the county.

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