Streptococcus A in paediatric accident and emergency: Are rapid streptococcal tests and clinical examination of any help?

Emergency Medicine Journal

Volumn 23, Issue 1, 2006, Pages 32-34

  Van Limbergen, Johan ^a   Kalima, P ^b   Taheri, S ^a   Beattie, T F ^a  

^a ROYAL HOSPITAL FOR SICK CHILDREN   (United Kingdom)

^b NHS LOTHIAN   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AMOXICILLIN; ANTIBIOTIC AGENT;

ARTICLE; BACTERIUM DETECTION; CHILD; CHILDHOOD DISEASE; CLINICAL EXAMINATION; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST; EARLY DIAGNOSIS; EMERGENCY MEDICINE; FEMALE; FEVER; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL AUDIT; MEDICAL SOCIETY; PHARYNGITIS; PRACTICE GUIDELINE; PREVALENCE; PRIORITY JOURNAL; RAPID STREPTOCOCCAL TEST; RASH; SENSITIVITY AND SPECIFICITY; SORE THROAT; STREPTOCOCCUS GROUP A; STREPTOCOCCUS INFECTION; THROAT CULTURE;

ANTIGENS, BACTERIAL; BACTERIAL TYPING TECHNIQUES; CHILD; CHILD, PRESCHOOL; EMERGENCY SERVICE, HOSPITAL; EPIDEMIOLOGIC METHODS; FEMALE; HUMANS; INFANT; MALE; PHARYNGITIS; PHARYNX; REAGENT KITS, DIAGNOSTIC; SPECIMEN HANDLING; STREPTOCOCCAL INFECTIONS; STREPTOCOCCUS PYOGENES;

EID: 30344466917     PISSN: 14720205     EISSN: None     Source Type: Journal    
DOI: 10.1136/emj.2004.022970     Document Type: Article

References (17)

1. American Academy of Pediatrics. Group A streptococcal infections. In: Peter G, ed. 1997 Red Book Report of the Committee on Infectious Diseases, 24th edn. Elk Grove Village, IL: American Academy of Pediatrics, 1997:486.
2. American Academy of Pediatrics. Group A streptococcal infections. In: Pickering LK, ed. 2003 Red Book Report of the Committee on Infectious Diseases, 26th edn. Elk Grove Village, IL: American Academy of Pediatrics, 2003:576.
3. Bisno AL, Gerber MA, Gwaltney JM, et al. Practice guidelines for the diagnosis and management of group A streptococcal pharyngitis. Clin Infect Dis 2002;35:113-25.
4. Del Mar CB, Glasziou PP, Spinks AB. Antibiotics for sore throat. Cochrane Database Syst Rev 2004;(2):CD000023.
5. Komaroff AL, Aronson MD, Pass TM, et al. Serologic evidence of chlamydial and mycoplasmal pharyngitis in adults. Science 1983;222:927-9.
6. Gunnarsson RK, Holm SE, Soderstrom M. The prevalence of beta-haemolytic streptacocci in throat specimens from healthy children and adults. Implications for the clinical value of throat cultures. Scand J Prim Health Care 1997;15:149-55.
7. Armengol CE, Schlager TA, Hendley JO. Sensitivity of a rapid antigen detection test for group A streptococci in a private pediatric office setting: answering the Red Book's request for validation. Pediatrics 2004;113:924-6.
8. Shulman ST. Streptococcal pharyngitis: diagnostic considerations. Pediatr Infect Dis J 1994;13:567-71.
9. Gieseker KE, Mackenzie T, Roe MH, et al. Comparison of two rapid Streptococcus pyogenes diagnostic tests with a rigorous culture standard. Pediatr Infect Dis J 2002;21:922-7.
10. Kurtz B, Kurtz M, Roe M, et al. Importance of inoculum size and sampling effect in rapid antigen detection for diagnosis of Streptococcus pyogenes pharyngitis. J Clin Microbiol 2000;38:279-81.
11. Pitetti RD, Drenning SD, Wald ER. Evaluation of a new rapid antigen detection kit for group A beta-hemolytic streptococci. Pediatr Emerg Care 1998;14:396-8.
12. Gieseker KE, Roe MH, MacKenzie T, et al. Evaluating the American Academy of Pediatrics diagnostic standard for Streptococcus pyogenes pharyngitis: backup culture versus repeat rapid antigen testing. Pediatrics 2003;111(6 Pt 1):e666-e670.
13. Lieu TA, Fleisher GR, Schwartz JS. Cost-effectiveness of rapid latex agglutination testing and throat culture for streptococcal pharyngitis. Pediatrics 1990;85:246-56.
14. McIsaac WJ, Goel V, To T, et al. The validity of a sore throat score in family practice. Can Med Assoc J 2000;163:811-15.
15. Ebell MH, Smith MA, Barry HC, et al. The rational clinical examination. Does this patient have strep throat? JAMA 2000;284:2912-18.
16. Centor RM, Witherspoon JM, Dalton HP, et al. The diagnosis of sirep throat in adults in the emergency room. Med Decis Making 1981;1:239-46.
17. Dobbs F. A scoring system for predicting group A streptococcal throat infection. Br J Gen Pract 1996;46:461-4.