Group A Streptococcus (GAS) pharyngitis is a common clinical syndrome in primary care, yet controversy remains regarding the best approach to diagnosis and treatment, including the benefits of antibiotics. Children who are likely to have GAS pharyngitis based on history or physical examination should have a throat swab and, when positive, be treated with amoxicillin or penicillin. The disproportionate burden of acute rheumatic fever in Indigenous populations in Canada and special considerations for testing and treatment are discussed.

中文翻译：

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A组链球菌性咽炎：诊断和治疗的实用指南

A 组链球菌 (GAS) 咽炎是初级保健中常见的临床综合征，但关于诊断和治疗的最佳方法仍存在争议，包括抗生素的益处。根据病史或体格检查可能患有 GAS 咽炎的儿童应进行咽拭子检查，如果呈阳性，则使用阿莫西林或青霉素进行治疗。讨论了加拿大土著人群中急性风湿热的不成比例负担以及检测和治疗的特殊考虑。