Combat Recurrent Strep Throat: Prevention and Care Tips

24 Mar 2024, by

Dr. Anna Nersisyan

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Recurrent strep throat is a condition characterized by multiple instances of strep throat, a bacterial infection caused by Streptococcus pyogenes. This ailment is not only uncomfortable but can lead to serious complications if not addressed properly. Key to managing recurrent strep throat is understanding its causes, risk factors, and the importance of complete treatment. Prevention measures, including good hygiene practices and timely medical consultation, play a crucial role in mitigating the risk of recurrence. This article provides comprehensive insights into treating and preventing recurrent strep throat effectively.

recurrent strep throat

Causes of Recurrent Strep Throat

Understanding why recurrent strep throat affects individuals repeatedly is crucial for both prevention and treatment. At the heart of this condition is the bacteria known as Streptococcus pyogenes. This bacterium is highly contagious, spreading through airborne droplets when an infected person coughs or sneezes, or through shared food, drinks, and surfaces. While anyone can get strep throat, certain factors make some people more prone to re-infections. Here are the main causes:

  • Close Contact: Regular exposure to schools, workplaces, or any environments where people are in close proximity can increase the chances of contracting the bacteria.
  • Incomplete Treatment: Not completing a prescribed course of antibiotics can allow the bacteria to survive and potentially cause a new infection.
  • Carrier State: Some individuals may carry the bacteria without showing symptoms, making it easy to unknowingly spread it to others.


Recurrent strep throat's impact varies between adults and children, necessitating tailored approaches for each demographic.

Recurrent Strep Throat in Adults

For adults, recurrent strep throat can be a consequence of weakened immunity, regular exposure to infected individuals, and the strains of daily life that may impair health. Prevention for adults should emphasize minimizing exposure and enhancing immune system health. Adults concerned about symptoms can use the Symptom Checker for Adults for an initial assessment.

Recurrent Strep Throat in Children

Children are particularly vulnerable to recurrent infections due to close interactions in schools and daycare, coupled with their developing immune systems. Globally, it's estimated that children aged 5 to 14 experience approximately 288.6 million episodes of Strep sore throat annually, as eClinicalMedicine article claims. Key strategies for children include instilling rigorous hygiene habits and addressing any occurrence of strep throat promptly to avert recurrence. For initial evaluations of children's symptoms, the Child Symptom Checker offers a tailored resource.

Identifying Risk Factors for Recurrent Strep Throat

Certain risk factors increase the likelihood of experiencing recurrent strep throat. Understanding these can help in crafting effective prevention strategies:

  • Age: Children aged 5 to 15 years are most susceptible, but adults can also be affected, especially those in close contact with children.
  • Seasonal Exposure: Strep throat is more common in late fall through early spring, coinciding with the school year and colder months when people spend more time indoors.
  • Immune System Health: Individuals with weakened immune systems, whether from other diseases, stress, or lack of sleep, may have a higher risk of recurrent infections.
  • Exposure to Infected Individuals: Living in close quarters with someone who has strep throat significantly increases the risk of getting infected.


Incorporating strategies to mitigate these risk factors is key in managing and preventing recurrent strep throat, both in adults and children. Ensuring complete courses of treatment are followed, maintaining good hygiene practices, and avoiding close contact with infected individuals are foundational steps in preventing recurrence.

Complications of Recurrent Strep Throat

While strep throat itself can be uncomfortable and disruptive, the potential complications arising from recurrent infections underscore the importance of timely and effective treatment. These complications include:

  • Rheumatic Fever: A serious condition that can affect the heart, joints, skin, and brain.
  • Post-streptococcal Glomerulonephritis: A kidney disease that can follow untreated or improperly treated strep throat.
  • Peritonsillar Abscess: A collection of pus around the tonsils that requires immediate medical attention.
  • Scarlet Fever: Though less common, scarlet fever can occur, characterized by a red rash covering much of the body.
  • Spread of Infection: The infection can spread to other parts of the body, leading to sinus infections or otitis media.

Treatment Options for Recurrent Strep Throat

Effectively managing recurrent strep throat involves several treatment strategies aimed at eliminating the infection, alleviating symptoms, and preventing future occurrences.


The cornerstone of strep throat treatment, antibiotics are prescribed to kill the bacteria responsible for the infection. It's imperative to complete the entire course of antibiotics to prevent resistance and complications.

Symptomatic Relief

While antibiotics address the bacterial infection, additional treatments can help relieve the symptoms of strep throat:

  • Over-the-counter Pain Relievers: To reduce throat pain and fever.
  • Throat Lozenges: To soothe throat discomfort.
  • Hydration: Drinking plenty of fluids keeps the throat moist and helps prevent dehydration.

Advanced Treatments

In cases of frequent recurrences, more advanced treatments may be considered:

  • Tonsillectomy: The surgical removal of the tonsils can be an option for those with recurrent strep throat that significantly impacts their quality of life.

Prevention of Recurrent Strep Throat

Preventing recurrent strep throat involves a combination of personal hygiene practices and environmental adjustments:

  • Hand Washing: Regular and thorough hand washing is crucial in preventing the spread of the bacteria.
  • Avoid Sharing Personal Items: Utensils, cups, and toothbrushes should not be shared.
  • Stay Home When Ill: To prevent spreading the infection to others, stay home from work or school when you have strep throat.
  • Complete Antibiotic Courses: As mentioned under treatment, completing prescribed antibiotic courses is essential to fully eradicate the bacteria and prevent recurrence.


For anyone experiencing symptoms of strep throat, especially if recurrences are common, using an online Symptom Checker can be a valuable first step in determining the need for further medical consultation. This tool is particularly useful for initial assessments but should not replace professional medical advice, especially for recurrent strep throat treatment and prevention.
Incorporating these strategies and being mindful of the risk factors and potential complications can help manage and reduce the incidence of recurrent strep throat, improving overall health and wellbeing.

Key Takeaways

  • Complete Antibiotics Course: Always finish the full course of antibiotics to ensure the infection is fully eradicated and to prevent resistance.
  • Hygiene Practices: Regular handwashing and avoiding sharing personal items can significantly reduce the risk of spreading or contracting strep throat.
  • Recognize Symptoms Early: Early detection through symptoms observation and using tools like the Symptom Checker can aid in prompt treatment, reducing the risk of complications and recurrence.
  • Risk Factor Awareness: Knowing the risk factors, such as age, exposure in group settings, and immune system health, can help in taking preventative measures against recurrent infections.
  • Seek Professional Advice: Consult healthcare professionals for a proper diagnosis and treatment plan, especially if recurrent strep throat is a concern.

Frequently Asked Questions

What causes recurrent strep throat?

Recurrent strep throat is primarily caused by the Streptococcus pyogenes bacterium. Factors such as incomplete antibiotic courses, close contact with infected individuals, and being in environments like schools or workplaces increase the risk of recurrence.

Why is recurrent strep throat common in adults?

While children are more commonly affected, adults can also experience recurrent strep throat, especially those with weakened immune systems, those who are frequently in close contact with children, or adults working in group settings where the bacterium easily spreads.

What are the best treatment options for recurrent strep throat?

The best treatment options include a complete course of prescribed antibiotics to eliminate the bacteria, symptomatic relief measures such as pain relievers and throat lozenges, and, in some cases, surgical interventions like tonsillectomy for individuals with severe, frequent recurrences.

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