Strep A and Scarlet Fever

There has been a national increase in young children diagnosed with scarlet fever and invasive group A streptococcus, above seasonal expected levels. Below is some information about symptoms and what to do if you suspect your child has Scarlet Fever. 

Scarlet Fever 

Scarlet fever is caused by bacteria called group A streptococci. Scarlet fever remains higher than we would typically see at this time of year. Symptoms include:  

• A sore throat, headache, and fever  

• Fine, pinkish or red body rash with a sandpapery feel. On darker skin, the rash can be more difficult to detect visually but will have a sandpapery feel.  

For further information and photos of symptoms visit: Scarlet fever - NHS (www.nhs.uk). 

NHS 111 or GP should be contacted if a child has scarlet fever, as early treatment with antibiotics will reduce the risk of complications. As per national guidance, children and adults with suspected scarlet fever should be excluded from nursery / school / work for 24 hours after the commencement of appropriate antibiotic treatment. Good hand and respiratory hygiene are important for stopping the spread of infection. For more information see: Home (e-bug.eu).  

For more information see: Scarlet fever - NHS (www.nhs.uk) and https://www.gov.uk/government/publications/scarlet-fever-symptoms-diagnosis-treatment. 

Group A streptococcus can also cause other respiratory and skin infections, and in very rare occasions, the bacteria can get into the bloodstream and cause an illness called invasive Group A strep (iGAS). While uncommon, there has been an increase in iGAS cases this year, particularly in children under 10. If your child seems unwell, please contact NHS 111 or your GP. 

For information on symptoms see: https://www.gov.uk/government/news/ukhsa-update-on-scarlet-fever-and-invasive-group-a-strep.