Managing the deteriorating child with suspected group A Streptococcus infection
Intended for healthcare professionals
CPD    

Managing the deteriorating child with suspected group A Streptococcus infection

Mark Kempsell-Smith Advanced nurse practitioner, paediatric intensive care, Birmingham Women’s and Children’s NHS Foundation Trust, Birmingham, England
Claire Fitzsimons Advanced nurse practitioner, paediatric intensive care, Birmingham Women’s and Children’s NHS Foundation Trust, Birmingham, England

Why you should read this article:
  • To enhance your awareness of the signs and complications of group A Streptococcus infection in children

  • To refine your knowledge of the management of children with severe group A Streptococcus infection

  • To contribute towards revalidation as part of your 35 hours of CPD (UK readers)

  • To contribute towards your professional development and local registration renewal requirements (non-UK readers)

Group A Streptococcus bacteria can cause various pyogenic infections such as tonsillitis, pharyngitis, scarlet fever, impetigo, erysipelas, cellulitis and pneumonia. Most group A Streptococcus infections in children are mild and respond positively to treatment with antibiotics. However, some children develop severe infection accompanied by complications such as sepsis and will require urgent treatment, which may include non-invasive or invasive ventilation and the administration of fluids and vasoactive agents. In some instances, for example if there are no beds available in the paediatric intensive care unit, these interventions may be undertaken in a ward setting. This article gives an overview of group A Streptococcus infection, including two rare but severe complications, streptococcal toxic shock syndrome and necrotising fasciitis. It uses a fictionalised case study to examine the management of the deteriorating child with suspected group A Streptococcus infection, including respiratory support, haemodynamic support and symptom management.

Nursing Children and Young People. doi: 10.7748/ncyp.2023.e1467

Peer review

This article has been subject to open peer review and checked for plagiarism using automated software

Correspondence

claire.fitzsimons@nhs.net

Conflict of interest

None declared

Kempsell-Smith M, Fitzsimons C (2023) Managing the deteriorating child with suspected group A Streptococcus infection. Nursing Children and Young People. doi: 10.7748/ncyp.2023.e1467

Published online: 21 August 2023

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