Strep A


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Some pretty dubious reporting and misunderstanding in that report. Trashy reporting like this adds to the hysteria. Without trying to be mean, the parents comments don't really hold water either.

He's recovered and home because of the intensive care provided by dedicated professionals but they've lost faith in the health service? When he was unwell there wasn't any awareness of a rise in invasive Strep infections and he may have well have a viral infection before developing Strep infection, that's commonplace. Three week lag between his first symptoms and getting sick too? Even more likely they were separate bugs, Scarlet fever doesn't last that long typically.
 
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Must admit I'm a little concerned with this and not without some cause.

My three year old son came down with scarlet fever in April - had it relatively mildly, with a low grade fever and rash, but more prominent strawberry tongue. A course of antibiotics cleared everything up very quickly... until his symptoms returned a week later. During that period I managed to catch strep throat from him. After his symptoms (still mild) reappeared he had a positive Strep A throat swab, which is quite weird for someone who's just done a ten day course of penicillin. This was followed by another ten day dose of antibiotics... and another positive throat swab. We were told to just forget about it unless he had any further symptoms. There was a bit of an outbreak at his nursery around the time, but the nursery were very lax in following up on things it seems.

All fine until October when he came down with it again - twice in 6 months! This time his symptoms were a bit stronger, but still fairly mild on the wider scale of things. A larger outbreak at his nursery again it seems. A course of antibiotics followed again... and then his four month old sister came down with it the following week! Again, hers was very mild. And again, I managed to catch strep throat.

As it's bacterial you don't really build up (much) immunity to it - I get strep throat once or twice a year in general. I'm slightly concerned that he/both of them may be slightly susceptible to it, therefore increasing any chances of getting it again. Perhaps he's a natural Strep A carrier. Maybe I am too.

I'd hoped that the recent outbreak in October and November might have spared the nursery this time around... but of course we have had a message from the nursery this morning mentioning they've had a case of scarlet fever. Given the proximity to Christmas, I might just take him out of nursery next week and week after (he only does Mon-Weds) and let things cool down until the new year.
 
So a classic case of "our kid is ill, please help, but we read something on the internet so we don't want you to help, but they're sick, why aren't you helping, don't you have some crystals or something you can heal them with?"

It got worse today and they are blaming us for both their childrens multiple problems.
Let's just say they are two people who should not be having sex with each other.
 
It got worse today and they are blaming us for both their childrens multiple problems.
Let's just say they are two people who should not be having sex with each other.

When we were referred to A&E with our infant son this time last year, we saw some of these sorts of people come and go. It was amusing as much as it was frustrating.
 
My partners class has 10 children out with symptoms of scarlet fever including one who's been admitted to hospital.
 
Absolute hysteria is the only way to describe this. We had another horrendous day. 50 pts/GP.

I dread to guess how AE / paeds is like atm.

I'd love to see the data compared to previous winters. What is the comparative % increase in patients diagnosed with Strep compared to previous years to justify this media campaign.
 
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I'd love to see the data compared to previous winters. What is the comparative % increase in patients diagnosed with Strep compared to previous years to justify this media campaign.

There were 851 cases reported in week 46, compared to an average of 186 for the preceding years.
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Absolute hysteria is the only way to describe this. We had another horrendous day. 50 pts/GP.

I dread to guess how AE / paeds is like atm.

I'd love to see the data compared to previous winters. What is the comparative % increase in patients diagnosed with Strep compared to previous years to justify this media campaign.

Got to admit has this always been a thing that has only just come to light because Covid isn't in the headlines now?
 
There were 2.3 cases per 100,000 children aged 1 to 4 compared to an average of 0.5 in the pre-pandemic seasons (2017 to 2019) and 1.1 cases per 100,000 children aged 5 to 9 compared to the pre-pandemic average of 0.3 (2017 to 2019) at the same time of the year.
 
Got to admit has this always been a thing that has only just come to light because Covid isn't in the headlines now?
Are you asking about GP demand during winter? Yes, always goes up during winter as expected but not to this level.

My receptionists got called "murderers" today because our appts got filled with the worried well and we couldn't manage the number of urgent appointment requests. Without a doubt lots of elderly patients probably couldn't get through.

We've had parents coming for there 2nd and 3rd consultations despite already being on antibiotics.
 
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Are you asking about GP demand during winter? Yes, always goes up during winter as expected but not to this level.

My receptionists got called "murderers" today because our appts got filled with the worried well and we couldn't manage the number of urgent appointment requests. Without a doubt lots of elderly patients probably couldn't get through.

We've had parents coming for there 2nd and 3rd consultations despite already being on antibiotics.
It's my week on call next week, dreading it. The volume of dross is mad.
 
It's my week on call next week, dreading it. The volume of dross is mad.
Good luck mate - Hopefully smooth sailing.

I don't blame the parents. I think public health need to work on their comms. The generic email I got from my kid's school today advised parents to seek urgent medical attention for broad symptoms that basically describe every cold.
 
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Are you asking about GP demand during winter? Yes, always goes up during winter as expected but not to this level.

My receptionists got called "murderers" today because our appts got filled with the worried well and we couldn't manage the number of urgent appointment requests. Without a doubt lots of elderly patients probably couldn't get through.

We've had parents coming for there 2nd and 3rd consultations despite already being on antibiotics.

How do these parents get the 2nd/3rd appointment that’s not needed when others are in need?
 
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