TY - JOUR T1 - FAilure of once-daily penicillin v therapy for streptococcal pharyngitis AU - Gerber MA, Randolph MF, DeMeo K, Feder HM, Jr, Kaplan EL Y1 - 1989/02/01 N1 - 10.1001/archpedi.1989.02150140039016 JO - American Journal of Diseases of Children SP - 153 EP - 155 VL - 143 IS - 2 N2 - • Todetermine if a single daily dose of penicillin V would be effective in the treatment of group A β-hemolytic streptococcal (GABHS) pharyngitis, 154 patients with GABHS pharyngitis were randomly assigned to receive 750 mg of penicillin V once daily for ten days or 250 mg of penicillin V three times daily for ten days. The two regimens were comparable in their ability to eradicate GABHS from the upper respiratory tract in 18 to 24 hours and in their impact on the clinical course of the disease. However, a bacteriologic treatment failure occurred in six (8%) of the 76 patients in the three-times-daily group and in 16 (22%) of the 74 patients in the once-daily group. These findings support the current recommendation that penicillin V be given in two or more divided doses for a full ten days for the treatment of GABHS pharyngitis.(AJDC 1989;143:153-155) SN - 0002-922X M3 - doi: 10.1001/archpedi.1989.02150140039016 UR - http://dx.doi.org/10.1001/archpedi.1989.02150140039016 ER -