Incubation Period for Strep Throat

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Strep throat is a contagious bacterial infection of the throat that can be quite painful. It is most common in school age children between the ages of 5 and 15 but can affect anyone. Because it is caused by a bacteria, it nearly always needs to be treated with antibiotics. 

What Does Incubation Period Mean?

Incubation period is defined as the time between exposure to germs and when you first start to have symptoms of an illness.

The incubation period of an illness varies depending on the infection and can be anywhere from a few hours to weeks, months or years. 

The typical incubation period for strep throat is 2 to 5 days, with the average being 3 days. 

This means that from the time you are exposed to the illness to the time you start having symptoms will be about 3 days.

How Long Are You Contagious?

If you are sick with strep throat, you will be contagious until you have been on antibiotics for at least 24 hours. However, your symptoms may last longer than that. It is important to take all of your antibiotics as prescribed. Stopping them as soon as you feel better can mean the infection is only partially treated and it increases the risk of antibiotic resistance

If you have been infected with the bacteria and are not on antibiotics, you could be contagious for up to 3 weeks, even if you don't have symptoms. Some people are considered carriers of Group A Streptococcus (which causes strep throat).

This means they will test positive for the bacteria even if they don't have symptoms. It is typically not necessary to treat strep carriers unless it is suspected that they are spreading the illness to others in the family repeatedly. 

It's also important to know the symptoms of strep throat. Most people experience fever, sore throat, and red tonsils.

Some may have a red, sandpaper-like rash (known as scarlet fever). Others may have abdominal pain, vomiting, or headache as well. If you or your child has symptoms of an upper respiratory infection such as congestion and cough, it is highly unlikely that the accompanying sore throat is caused by strep. Some people are incorrectly diagnosed with strep throat when they have these symptoms. 

Treatment

It is very important to seek treatment for strep throat, as leaving it untreated can lead to very serious complications such as rheumatic fever. Although rheumatic fever is rare in the US now, prior to the discovery of antibiotics, it was a leading cause of death among children. It is still common in developing countries around the world. 

It's also important to know that not all sore throats are caused by strep. Many people experience sore throats when they have a viral illness. If your health care provider tests you for strep and the rapid test is negative, it can be sent for culture. Throat culture results should be back in 1-2 days.

If your sore throat is caused by a virus, instead of a bacteria like Group A Streptococcus, taking antibiotics will not help. 

Strep throat cannot be diagnosed by sight alone. No one should look at your throat and tell you that you have strep. Although some people believe the presence of "white patches" on the tonsils indicates strep, this isn't the case. These spots can be present with viruses as well. 

If you or your child has a sore throat and additional symptoms of strep throat, contact your health care provider to be tested and treated appropriately. 

Sources:

"Strep Throat". MedlinePlus 4 Feb 14. Medical Encyclopedia. US National Library of Medicine. US Department of Health and Human Services. National Institutes of Health. 4 Jan 16.

"Strep Throat." National Institute of Allergy and Infectious Diseases 09 Mar 09. National Institutes of Health. 08 June 09.

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