What is the best way to manage close contacts of patients with invasive group A streptococcal infections to minimize the risk of disease transmission while considering the potential adverse effects of prophylactic antibiotics?

What is the best way to manage close contacts of patients with invasive group A streptococcal infections to minimize the risk of disease transmission while considering the potential adverse effects of prophylactic antibiotics?

• I typically recommend antibiotic prophylaxis to close contacts of patients with invasive group A streptococcal infections
• I recommend antibiotic prophylaxis only for close contacts who have risk factors for severe infection themselves
• I avoid antibiotic prophylaxis due to lack of evidence of benefit and risk of adverse effects of antibiotics
• Other