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What is the recommended antibiotic treatment for scarlet fever, and how long should it be administered?
Answer
Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 16 August 2025
Recommended antibiotic treatment for scarlet fever: The first-line antibiotic is phenoxymethylpenicillin (penicillin V).
Duration of administration: A 10-day course is recommended.
Alternatives for penicillin allergy: For birth to 6 months, clarithromycin for 10 days; for non-pregnant adults and children aged 6 months to 17 years, azithromycin for 5 days or clarithromycin for 10 days; for pregnant or postpartum women (within 28 days of childbirth), erythromycin for 10 days.
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