Use of a high-sensitivity rapid strep test without culture confirmation of negative results: 2 years' experience

Journal of Family Practice

Volumn 49, Issue 1, 2000, Pages 34-38

  Webb, Kenneth H ^a   Needham, Cynthia A ^b   Kurtz, Sanford R ^b  

^a BioStar Inc   (United States)

^b LAHEY HOSPITAL AND MEDICAL CENTER   (United States)

Author keywords

Outcome assessment (health care); Pharyngitis; Streptococcus

Indexed keywords

ADOLESCENT; ADULT; ANTIGEN DETECTION; ARTICLE; BACTERIUM CULTURE; DIAGNOSTIC ACCURACY; DIAGNOSTIC PROCEDURE; HUMAN; INFECTION COMPLICATION; PHARYNGITIS; SCHOOL CHILD; STREPTOCOCCUS;

ABSCESS; ACUTE DISEASE; ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANTIGENS, BACTERIAL; BACTERIOLOGICAL TECHNIQUES; CHILD; DECISION SUPPORT TECHNIQUES; GLOMERULONEPHRITIS; HUMANS; IMMUNOASSAY; MIDDLE AGED; PHARYNGITIS; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; STREPTOCOCCAL INFECTIONS; STREPTOCOCCUS PYOGENES; TIME FACTORS;

EID: 0033926706     PISSN: 00943509     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (30)

1. Gochi S, Fraser DW, Hightower AW, Facklam RR, Broome CV. Diagnosis and treatment streptococcal pharyngitis: survey of US medical practitioners. In: Shulman ST, editor. Pharyngitis: management in an era of declining rheumatic fever. New York, NY: Praeger Publishers, 1984; 73-94.
2. Dobbs E. A scoring system for predicting group A slreptococcal throat infection. Br J Gen Pract 1996; 46:461-4.
3. Joslyn SA, Hoekstra GL, Sutherland JE. Rapid antigen detection testing in diagnosing group A beta-hemolytic streptococcal pharyngitis. J Am Board Fam Pract 1995; 8:177-82.
4. Komaroff AL, Pass TM, Aronson MD, et al. The prediction of streptococcal pharyngitis in adults. J Gen Intern Med 1986; 1:1-7.
5. Randolph MF, Gerber MA, DeMeo KK, et al. The effect of antibiotic therapy on the clinical course of streptococcal pharyngitis. J Pediatr 1985; 106:870-5.
6. Krober MS, Bass JW, Michels GN. Streptococcal pharyngitis placebo-controlled double-blind evaluation of clinical response to penicillin therapy JAMA 1985; 253:1271-301.
7. Poskanzer DC, Feldman HA, Beadenkopf WG, Juroda K, Drislane A, Diamond EL. Epidemiology of civilian streptococcal outbreaks before and after penicillin prophylaxis. Am J Public Health 1956; 46:1513-24.
8. Bennicke T, Brochner-Mortensen K, Kjaer E, et al. Penicillin therapy in acute tonsillitis, phlegmonous tonsillitis and ulcerative tonsillitis. Acta Med Scand 1951; 139:253-74.
9. Denny FW, Wannamaker LW, Brink WR, et al. Prevention of rheumatic fever. JAMA 1950; 143:151-3.
10. Breese BB. A simple scorecard for the tentative diagnosis of streptococcal pharyngitis. Am J Dis Child 1977; 131:514-7.
11. Poses RM, Cebul RD, Collins M, Hager SS. The accuracy of experienced physicians' probability estimates for patients with sore throats. JAMA 1985; 254:925-9.
12. American Academy of Pediatrics. Group A streptococcal infections. In: Peter G, ed. 1997 Red book: report of the Committee on Infectious Diseases. 24th ed. Elk Grove Village, III: American Academy of Pediatrics; 1997:486.
13. Dajani A, Taubert K, Ferrieri P. et al. Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever: a statement for health professionals. Pediatrics 1995, 96:758-64.
14. Radetsky M, Solomon JA, Todd JK. Identification of streptococcal pharyngitis in the office laboratory: reassessment of new technology. Pediatr Infect Dis J 1987; 6:556-62.
15. Pichichero ME, Disney FA, Green JL, et al. Comparative reliability of clinical, culture, and antigen detection methods for the diagnosis of group A beta-hemolytic streptococcal tonsillopharyngitis. Pediatr Ann 1992; 21:798-805.
16. Gerber MA. Use of antigen detection tests in the diagnosis and management of patients with group A streptococcal pharyngitis. Pediatr Infect Dis J 1997; 16:1187.
17. Gerber MA, Tanz RR, Kabat W. et al. Optical immunoassay test for group A beta-hemolytic streptococcal pharyngitis: an office-based, multicenter investigation. JAMA 1997; 277:899-903.
18. Webb KH. Does culture confirmation of high-sensitivity antigen tests make sense? A decision analysis. Pediatrics 1998; 101:e2.
19. Needham CA, McPherson KA, Webb KH. Streptococcal pharyngitis: impact of a high-sensitivity antigen test on physician outcome. J Clin Microbiol 1998; 36:3468-73.
20. Shulman ST. Streptococcal pharyngitis: diagnostic considerations. Pediatr Infect Dis J 1994; 13:567-71.
21. Hofer C, Binns HJ, Tanz RR. Strategies for managing group A streptococcal (GABHS) pharyngitis: a survey of board-certified pediatricians. Arch Pediatr Adolesc Med 1997; 151:824-9.
22. CDC. Summary of notifiable diseases, United States 1994. MMWR 1994; 43:8.
23. Veasy LG, Tani LY, Hill HR. Persistence of acute rheumatic fever in the intermountain area of the United States J Pediatrics 1994; 124:9-16.
24. Wald ER, Dashefsky B, Feidt C, Chiponis D, Byers C. Acute rheumatic fever in Western Pennsylvania and the tristate area. Pediatrics 1987; 80:371-4.
25. Weinstein L, LeFrock J. Does antimicrobial therapy of streptococcal pharyngitis or pyoderma alter the risk of glomerulonephritis? J Infect Dis 1971; 124:229-31.
26. Stetson CA, Rammelkamp CH Jr, Krause RM, et al. Epidemic acute nephritis: studies on etiology, natural history, and prevention. Medicine 1955; 34:431-50.
27. Passy V. Pathogenesis of peritonsillar abscess. Laryngoscope 1994; 104:185-90.
28. Savolainen S, Jousimies-Somer HR, Makitie AA, Ylikoski JS. Peritonsillar abscess: clinical and microbiologic aspects and treatments regimens. Arch Otolaryngol Head Neck Surg 1993; 119:521-4.
29. Wolf M, Even-Chen I, Kronenberg J. Peritonsillar abscess: repeated needle aspiration vs incision and drainage. Ann Otol Rhino Laryngol 1994; 103:554-7.
30. Jousimies-Somer H, Savolainen S, Makitie A, Ylokoski J. Bacteriologic findings in peritonsillar abscess in young adults. Clin Infect Dis 1993; 16(suppl):S292-8.