Monitoring
Follow-up of asymptomatic patients after completion of antibiotic
course is not typically necessary.
Follow-up cultures or RADT are indicated in:
- Patients who remain asymptomatic
- Patients whose symptoms recur
- Patients with history of rheumatic fever
- Patients who develop acute pharyngitis during outbreaks of either rheumatic fever or post-streptococcal glomerulonephritis, or during outbreaks of GABS in close or partially closed communities
- Continual spread of infection within a family
Persistence
of group A Streptococcus carriage in the face of an intercurrent viral
infection, a new group A Streptoccus pharyngeal infection obtained from
contacts, and non-compliance with treatment regimen should be considered if
recurrent episodes occur.