Guidelines
Streptococcus pyogenes

Streptococcus pyogenes

Consults

ID consultation is recommended

Surgical consultation as applicable for debridement

Antibiotic Regimen

PLUS*

*If signs of hemodynamic instability

Duration of Therapy

Minimum 14 days from negative blood culture.

Tailor duration based on source of bacteremia.

Comments

Most common source is SSTI. Others include:

  • Pharyngitis
  • Pneumonia
  • Postpartum endometritis.

When the suspected source of infection may be polymicrobial then broader spectrum coverage is recommended.

May narrow to monotherapy (penicillin preferred) once there are no further signs of systemic infection and no further surgical intervention (e.g. if requires debridement or fasciotomy).