Background and Objective: Group A Streptococci is one of the most important bacteria which is capable of causing sore throat among children. Since A Streptococcal sore throat can lead to various diseases such as rheumatic, it is a potentially serious medical problem and adequate treatment is imperative. The aim of the present study was to determine the incidence of sore throat caused by group A Streptococci among 5-15 years age children referred to Children Emergency Department at Beasat hospital during six month.Materials and Methods: A total of 266 Children which were among 5-15 years old (150 male and 116 female) with the sore throat sings who referred to Children Emergency Department at Beasat hospital, Sanandaj were investigated in this study. After taking the swab samples, bacteria was isolated and identified and also tested for its antibiotic susceptibility pattern.Results: From 266 samples, incidence of sore throat was 25.5 %, out of which 42 were boys and 26 were girls. Their mean age was 9.3 years. Incidence of sore throat among 5-7 years age 33.8%, and in 8-10 years age group was 26.5 %. The antibiotic susceptibility pattern showed that Group AStreptococci was 28.3, 25.8 and 24.6% resistant to Carbinicillin, Ampicillin and Tertracycline respectively. Similarly, Gentamycin, Ceftriaxone, Ciprofolxacin, Corti were highly active against them.Conclusion: Group A Streptococci is the most important cause of sore throat among Children who refereed to Children Emergency Department at Beasat hospital, Sanandaj. All the Streptococci isolates were resistance to the very common antibiotics. Therefore, there should be a continuous surveillance system regarding antibiotic susceptibility pattern.