Published guidelines, based on expert opinion, generally recommend against identifying and treating carriers except for the following special situations:
(1) a local outbreak of acute rheumatic fever, invasive GAS disease, or poststreptococcal glomerulonephritis;
(2) an outbreak of GAS pharyngitis in a closed or semiclosed community;
(3) family or personal history of acute rheumatic fever;
(4) multiple episodes of GAS pharyngitis occurring in a family for many weeks despite appropriate treatment; and
(5) when tonsillectomy is being considered only because of GAS carriage.
Sursa: https://academic.oup.com/jpids/article/3/4/336/909914?login=false
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