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But the rapid strep test can give negative results even when strep bacteria are present ( false-negative test results). If the rapid strep test result is negative but strep throat is still suspected, your doctor may order a throat culture to verify the results. If the rapid strep test result is positive, a throat culture isn't needed. But they shorten the time you are able to spread the disease to others. Antibiotics amoxil in pregnancy also lower the risk of spreading the infection to other parts of your body. Testing is not needed: After antibiotic treatment, unless you still have symptoms. Testing may be done if symptoms return or you have had rheumatic fever and are at risk for it coming back. For a person who was exposed to strep but has no symptoms. For instance, family members of a person who has strep throat do not need to be tested unless they start to have symptoms. It is possible for a person to carry the strep bacteria and not have any symptoms. If a number of infections occur in the same family, or if there have been severe complications such as rheumatic fever or toxic shock syndrome , it may be helpful to test family members to learn whether they are carriers of strep infection. But it is unusual for a person to catch strep throat from a carrier. Antibiotics such as amoxicillin, cephalexin, or penicillin are used to treat strep throat. Antibiotics work only against bacterial infections such as strep throat. They will not help sore throats caused by allergies or viral infections such as colds. Antibiotics are commonly used to: Kill the bacteria and shorten the time you are contagious. You are typically no longer contagious 24 hours after you start antibiotics. Although uncommon, strep bacteria can spread to other parts of your body, causing ear or sinus infections or an abscess behind or around the tonsils ( peritonsillar abscess ). Antibiotics may also prevent the infection from triggering your immune system to attack itself and cause serious conditions such as rheumatic fever . Relieve discomfort and speed healing to some degree. Antibiotic treatment can begin immediately if a strep infection is confirmed by a rapid strep test. But there is no harm in waiting for the results of a throat culture to confirm strep throat before starting antibiotic treatment. In fact, it is better to wait until strep throat has been confirmed so that antibiotics are not used unnecessarily. Although waiting to treat strep throat may prolong the time you have the illness, delaying treatment for a few days doesn't increase the risk of rheumatic fever or other complications. Your doctor also may recommend non-prescription medicines such as acetaminophen or anesthetic throat sprays to help relieve the pain and discomfort caused by strep throat. Acetaminophen and ibuprofen are different products with different dosing recommendations. Talk to your child's doctor before switching back and forth between doses of acetaminophen and ibuprofen. When you switch between two medicines, there is a chance your child will get too much medicine. Studies have not shown any added benefit from alternating these medicines. To avoid getting strep throat, it is a good idea to avoid contact with anyone who has a strep infection. Wash your hands often when you are around people with colds or viral or bacterial illnesses. Do not share toothbrushes or eating and drinking utensils. Bacteria are almost always transmitted by contact with tiny droplets from an infected person. Strep throat is passed from one person to another by contact with the tiny droplets of an infected person's cough, sneeze, or breath. Bacteria can also live for a short time on doorknobs, water faucets, and other objects. If you touch an infected object and then touch your eyes, nose, or mouth, you can become infected with the bacteria or virus. Keep up your body's resistance to infection with a good diet, plenty of sleep, and regular exercise. Managing stress can also strengthen your body's ability to fight off illness, such as strep throat. Humidify your home during the dry winter months or year-round if you live in a dry climate. Moisture in the air (humidity) helps keep your mucous membranes moist and more resistant to bacteria.
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