Editing Streptococcal pharyngitis (section)

==Prevention==
[[Tonsillectomy]] may be a reasonable preventive measure in those with frequent throat infections (more than three a year).<ref>{{cite journal |vauthors=Johnson BC, Alvi A | title = Cost-effective workup for tonsillitis. Testing, treatment, and potential complications | journal = Postgrad Med | volume = 113 | issue = 3 | pages = 115–8, 121 |date=March 2003 | pmid = 12647478 | doi =  10.3810/pgm.2003.03.1391| s2cid = 33329630 }}</ref> However, the benefits are small and episodes typically lessen in time regardless of measures taken.<ref>{{cite journal|vauthors=van Staaij BK, van den Akker EH, van der Heijden GJ, Schilder AG, Hoes AW |title=Adenotonsillectomy for upper respiratory infections: evidence based?|journal=Archives of Disease in Childhood|date=January 2005|volume=90|issue=1|pages=19–25|pmid=15613505|doi=10.1136/adc.2003.047530|pmc=1720065}}</ref><ref>{{cite journal|last1=Burton|first1=MJ|last2=Glasziou|first2=PP|last3=Chong|first3=LY|last4=Venekamp|first4=RP|title=Tonsillectomy or adenotonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis.|journal=The Cochrane Database of Systematic Reviews|date=19 November 2014|volume=2014 |issue=11|pages=CD001802|pmid=25407135|doi=10.1002/14651858.CD001802.pub3|pmc=7075105|url=https://pure.bond.edu.au/ws/files/32844113/Tonsillectomy_or_adenotonsillectomy_versus_non_surgical_treatment_for_chronic.pdf |archive-url=https://ghostarchive.org/archive/20221010/https://pure.bond.edu.au/ws/files/32844113/Tonsillectomy_or_adenotonsillectomy_versus_non_surgical_treatment_for_chronic.pdf |archive-date=2022-10-10 |url-status=live}}</ref><ref>{{cite journal|last1=Morad|first1=Anna|last2=Sathe|first2=Nila A.|last3=Francis|first3=David O.|last4=McPheeters|first4=Melissa L.|last5=Chinnadurai|first5=Sivakumar|title=Tonsillectomy Versus Watchful Waiting for Recurrent Throat Infection: A Systematic Review|journal=Pediatrics|date=17 January 2017|pages=e20163490|doi=10.1542/peds.2016-3490|url= http://pediatrics.aappublications.org/content/early/2017/01/15/peds.2016-3490?sso=1&sso_redirect_count=1&nfstatus=401&nftoken=00000000-0000-0000-0000-000000000000&nfstatusdescription=ERROR%3A+No+local+token|language=en|issn=0031-4005|volume=139|issue=2|pmid=28096515|pmc=5260157|url-status=live|archive-url=https://web.archive.org/web/20170813012822/http://pediatrics.aappublications.org/content/early/2017/01/15/peds.2016-3490?sso=1&sso_redirect_count=1&nfstatus=401&nftoken=00000000-0000-0000-0000-000000000000&nfstatusdescription=ERROR%3A+No+local+token|archive-date=13 August 2017}}</ref> Recurrent episodes of pharyngitis which test positive for GAS may also represent a person who is a chronic carrier of GAS who is getting recurrent viral infections.<ref name=IDSA2012/> Treating people who have been exposed but who are without symptoms is not recommended.<ref name=IDSA2012/> Treating people who are carriers of GAS is not recommended as the risk of spread and complications is low.<ref name=IDSA2012/>