Streptococcal infections (Strep A) in primary care settings

In December 2022, there was a reported increase in the number of infections in the UK, resulting in deaths of young children, occurring as a result of invasive Strep A infections. Margaret Perry explains how these infections can be managed in a general practice setting. Group A streptococcal infections (GAS) are reported to be common and are often carried on the skin or in the throat and are harmless. However, in some cases they cause infection which may be mild, or in some cases the problem becomes invasive (iGAS) resulting in a more serious infection requiring hospital admission and treatment. This article will give an overview of the commonest infections arising as a result of GAS and will look at signs and symptoms, treatment, and complications, with the aim of increasing confidence among practice nurses and non-medical prescribers in the recognition and management of these conditions.