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Guidelines for management state: [1]-1, 0 or 1 point(s) – No antibiotic or throat culture necessary (risk of strep. infection <10%) 2 or 3 points – Should receive a throat culture and treat with an antibiotic if culture is positive (risk of strep. infection 32% if 3 criteria, 15% if 2) 4 or 5 points – Consider rapid strep testing and or ...
A rapid strep test may assist a clinician in deciding whether to prescribe an antibiotic to a person with pharyngitis, a common infection of the throat. [1] Viral infections are responsible for the majority of pharyngitis, but a significant proportion (20% to 40% in children and 5% to 15% in adults) is caused by bacterial infection. [2]
A rapid strep test (also called rapid antigen detection testing or RADT) may also be used. While the rapid strep test is quicker, it has a lower sensitivity (70%) and statistically equal specificity (98%) as a throat culture. [13] In areas of the world where rheumatic fever is uncommon, a negative rapid strep test is sufficient to rule out the ...
The AAP also recommends encouraging children to drink plenty of fluids. Strep throat. This is the most common type of group A strep infection, and it can be incredibly contagious, the AAP says.
[1] [5] Confirmation may be by a throat swab or rapid strep test. [1] [5] Treatment efforts involve improving symptoms and decreasing complications. [5] Paracetamol (acetaminophen) and ibuprofen may be used to help with pain. [1] [5] If strep throat is present the antibiotic penicillin by mouth is generally recommended.
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Considering that a reliable screening test is more important than a rapid and less accurate result. ASM also states that it is acceptable to use NAAT-based identification of GBS from an enrichment broth (after 18-24-hour incubation) with high sensitivity, and that FDA-cleared commercial assays are available to perform the test.
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