family titers

[chodnett]

I had everyone test aso and dnase. Now, It is like no one knows what to do. My doctor for me says no need for antibiotics I have no symptoms. and Twin sister of Pandas they say no need to treat her either. It only makes sense to be in normal range now that it is found. Pandas daughter is on antibiotics looking into IVIG treatment. I know we must not reinfect at home. Help if you know how to find carrier status or if there are any thoughts on this subject.

[Buster]

Chodnett,

 

You should not be testing ASO or AntiDNAseB unless you need to confirm a strep infection that was 4 weeks or 6 weeeks earlier. Were results elevated? Did you have rising titers? You might find some answers here: http://www.latitudes.org/forums/index.php?showtopic=6266

 

Regards,

 

Buster

 

I had everyone test aso and dnase. Now, It is like no one knows what to do. My doctor for me says no need for antibiotics I have no symptoms. and Twin sister of Pandas they say no need to treat her either. It only makes sense to be in normal range now that it is found. Pandas daughter is on antibiotics looking into IVIG treatment. I know we must not reinfect at home. Help if you know how to find carrier status or if there are any thoughts on this subject.

[chodnett]

so then,

 

I copied and pasted:

 

Q:Should I check for clearing of my non-PANDAS children if treated for strep

A: Yes. About 3 weeks after completing treatment for strep you can check for clearance by getting a negative culture. The dosing levels on antibiotics are designed so that about 80% of children with normal immune systems are cleared with a "standard" dosing of antibiotics. Some strains of strep are harder to eradicate and either longer treatments or use of antibiotics like azithromycin and augmentin seem to be effective on these strains.

 

Q:Why are doctors so hesitant to prescribe antibiotics or check for GABHS in asymptomatic children

A: The concern is primarily around creating a treatment resistant form of GABHS. By overprescribing antibiotics, doctors worry that some of the bacteria that is resistant to that form of antibiotic will survive and replicate. Antibiotics slow down the growth of the target (e.g., GABHS) and also helpful bacteria. This means that an antibiotic resistant strain could grow uncontrolled while the normal competing non-dangerous bacteria is held back. It's all a matter of balance and antibiotics do upset that balance. In terms of checking for GABHS in asymptomatic children, this is a matter of considerable debate. The exact reason why some children don't exhibit classic "sore throat" signs or why their colonization doesn't seem to turn into full infections is just not known. There is mounting evidence that asymptomatic carriage is not as benign as once thought, but most doctors have not read these research reports.

 

Its debatable?