You are currently viewing Treatment Of Streptococcal Pharyngitis – Mnemonic

Here is a quick mnemonic “TREATMENT OF STREPTO to remember about Treatment Of Streptococcal Pharyngitis

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, MBBS, NEET PG, FMGE, NExT, MCAT & NCLEX exams

Treatment Of Streptococcal Pharyngitis : How To Remember Easily ?

  • T – Treat all patients with pharyngitis, nonstreptococcal and streptococcal, with analgesics and supportive measures.
  • R – Remember that penicillin is the antibiotic of choice for streptococcal pharyngitis.
  • E – Explore amoxicillin as an acceptable alternative in children due to its palatable liquid form.
  • A – Assess and consider cepalexin and cefadroxil as good alternatives for patients with mild penicillin allergy.
  • T – Take note that erythromycin, clarithromycin, or clindamycin are recommended for patients with severe penicillin allergies.
  • M – Maintain longer antibiotic courses (7-10 days) for streptococcal pharyngitis as it is more effective.
  • E – Exclude glucocorticoids as an adjunctive treatment for sore throat and strep throat due to limited evidence and potential risks.
  • N – Note that streptococcal and nonstreptococcal pharyngitis should resolve in 3-5 days.
  • T – Timely seek further care if experiencing shaking chills (rigors), neck swelling beyond lymphadenopathy, trouble swallowing, drooling, or symptoms persisting for more than 5 days without improvement.
  • O – Opt for appropriate analgesics such as acetaminophen or NSAIDs to alleviate the pain.
  • F – Favor saline gargles, humidification, soft foods, and tea with honey to soothe a painful throat.
  • S – Stick to the recommended treatment guidelines to ensure effective management.
  • T – Take into account potential risks associated with short courses of steroids, such as sepsis, gastrointestinal bleeding, congestive heart failure, venous thromboembolism, and fractures.
  • R – Reassure patients that longer antibiotic courses are necessary for treating streptococcal pharyngitis.
  • E – Emphasize the importance of seeking further care if symptoms persist or worsen.
  • P – Prioritize patient comfort and pain relief through appropriate measures.
  • T – Teach patients about the expected duration of symptoms and signs of when to seek further medical attention.
  • O – Offer clear instructions and guidance for medication use and supportive measures.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department