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GAS Skin Sores in Indigenous Children — RACP Paediatrics MCQ

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ModerateInfectious DiseaseGAS Skin Sores in Indigenous ChildrenRACP Paediatrics

A 3-year-old Aboriginal child in a remote community has multiple crusted skin sores on the legs. Group A streptococcal culture is positive. What is the recommended antibiotic treatment?

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Correct answer: E — Oral trimethoprim-sulfamethoxazole or intramuscular benzathine penicillin

In remote Aboriginal communities with high rates of GAS skin infections, oral trimethoprim-sulfamethoxazole (for MRSA coverage) or IM benzathine penicillin are recommended treatments. This differs from standard impetigo guidelines due to high community rates of MRSA. Topical therapy alone is insufficient for extensive disease.

Reference: NHMRC – 2024 – Management of Skin Infections in Aboriginal Communities