For important information about Strep A and Scarlet Fever, please visit: 

Strep A & Scarlet Fever - YouTube

For guidance on using solid oral form antibiotics in children, please visit:

Using solid oral dosage form antibiotics in children – SPS - Specialist Pharmacy Service – The first stop for professional medicines advice

We know that parents may be concerned regarding Group A streptococcus (Step A). It is always concerning when a child is unwell. Strep A infections cause various symptoms such as sore throat, fever, chills, and muscle aches. More information can be found on the NHS website here - Strep A - NHS (www.nhs.uk)

Symptoms of a strep A infection that you should look out for include:
- Flu-like symptoms, such as a high temperature, swollen glands or an aching body
- sore throat (strep throat or tonsillitis)
- a rash that feels rough, like sandpaper (scarlet fever)
- scabs and sores (impetigo)
- pain and swelling (cellulitis)
- severe muscle aches
- nausea and vomiting.

Most strep A infections are not serious and can be treated with antibiotics. But rarely, the infection can cause serious problems. This is called invasive group A strep (iGAS).

You should get an urgent GP appointment or get help from NHS 111 if:
- your child is unwell and is getting worse
- your child is feeding or eating much less than normal
- your child has fewer wet nappies than usual or is peeing less than usual, or shows other signs of dehydration
- your baby is under 3 months and has a temperature of 38C, or is 3 to 6 months and has a temperature of 39C or higher
- your child is very tired or irritable.

It is important to trust your instincts if your child is unwell. Get medical help if you think you need it.

Check symptoms on 111 online (for children aged 5 and over) or call 111 (for children under 5)

You should call 999 or go to A&E if:

• your child is having difficulty breathing – you may notice grunting noises or their tummy sucking under their ribs
• there are pauses when your child breathes
• your child’s skin, tongue or lips are blue
• your child is floppy and will not wake up or stay awake.

You can find your nearest A&E here.