Strep throat, also known as streptococcal pharyngitis, is a bacterial infection caused by Group A Streptococcus (GAS). It is a common illness that affects people of all ages, but it is most prevalent among children between the ages of 5 and 15. However, infants can also contract strep throat, although it is relatively rare in this age group. In this article, we will explore the possibility of infants getting strep throat, its symptoms, diagnosis, treatment, and prevention.
Key Points
- Infants can contract strep throat, although it is relatively rare in this age group.
- The symptoms of strep throat in infants may be non-specific and can include fever, irritability, and loss of appetite.
- Diagnosis of strep throat in infants requires a physical examination, medical history, and laboratory tests such as a rapid strep test or throat culture.
- Treatment of strep throat in infants typically involves antibiotics, and it is essential to complete the full course of medication to prevent complications.
- Prevention of strep throat in infants includes practicing good hygiene, such as frequent handwashing, and avoiding close contact with individuals who have the infection.
Can Infants Get Strep Throat?

Yes, infants can get strep throat, although it is not as common as in older children and adults. According to the American Academy of Pediatrics (AAP), strep throat is relatively rare in infants under the age of 2, with an estimated incidence of 1-3% in this age group. However, it is essential to recognize the symptoms and seek medical attention if you suspect that your infant has strep throat.
Symptoms of Strep Throat in Infants
The symptoms of strep throat in infants may be non-specific and can include:
- Fever
- Irritability
- Loss of appetite
- Vomiting
- Diarrhea
- Sore throat
- White or yellow patches on the tonsils
- Swollen lymph nodes in the neck
It is crucial to note that infants may not always exhibit the typical symptoms of strep throat, and the infection can be more challenging to diagnose in this age group.
Diagnosis of Strep Throat in Infants

Diagnosis of strep throat in infants requires a physical examination, medical history, and laboratory tests. The healthcare provider may perform a:
- Rapid strep test: This test involves swabbing the throat to collect a sample, which is then analyzed for the presence of GAS.
- Throat culture: This test involves swabbing the throat to collect a sample, which is then sent to a laboratory for analysis. The results may take 24-48 hours to become available.
A positive test result confirms the diagnosis of strep throat, and the healthcare provider will prescribe antibiotics to treat the infection.
Treatment of Strep Throat in Infants
Treatment of strep throat in infants typically involves antibiotics, such as amoxicillin or penicillin. It is essential to complete the full course of medication, even if the symptoms resolve before finishing the treatment. This helps to prevent complications, such as rheumatic fever, and ensures that the infection is fully cleared.
Prevention of Strep Throat in Infants
Prevention of strep throat in infants includes practicing good hygiene, such as:
- Frequent handwashing with soap and water
- Avoiding close contact with individuals who have strep throat
- Covering the mouth and nose when coughing or sneezing
- Avoiding sharing utensils, toys, or other personal items
By following these preventive measures, you can reduce the risk of your infant contracting strep throat and other infections.
| Age Group | Incidence of Strep Throat |
|---|---|
| Infants under 2 years | 1-3% |
| Children between 5-15 years | 10-20% |

Complications of Strep Throat in Infants
Untreated strep throat can lead to complications, such as:
- Rheumatic fever: A rare but serious condition that can cause inflammation in the heart, joints, and skin.
- Glomerulonephritis: A kidney disease that can cause inflammation and damage to the kidneys.
- Ear infections: Strep throat can increase the risk of developing ear infections, which can lead to hearing loss and other complications.
Early diagnosis and treatment can help prevent these complications and ensure that your infant recovers fully from the infection.
Can infants get strep throat from breastfeeding?
+Yes, infants can get strep throat from breastfeeding if the mother has the infection. However, the risk is relatively low, and breastfeeding can provide some protection against the infection.
How long is an infant with strep throat contagious?
+An infant with strep throat is contagious for 24 hours after starting antibiotic treatment. It is essential to practice good hygiene and avoid close contact with others during this period.
Can strep throat in infants be treated with over-the-counter medications?
+No, strep throat in infants requires prescription antibiotics to treat the infection. Over-the-counter medications may help alleviate symptoms, but they will not cure the infection.
In conclusion, infants can get strep throat, although it is relatively rare in this age group. It is essential to recognize the symptoms, seek medical attention promptly, and follow the prescribed treatment to prevent complications. By practicing good hygiene and taking preventive measures, you can reduce the risk of your infant contracting strep throat and other infections.