Check the article on acute pharyngitis PEDs, supplement Jan
PEDIATRICS Vol. 101 No. 1 Supplement January 1998, pp. 171-174
As for an algorithm check this one out..
Tanz RR, Shulman ST Diagnosis and treatment of group A streptococcal
pharyngitis. Semin Pediatr Infect Dis. 1995; 6:69-78
For info on the rapid optical immunoassays:
Gerber MA, Tanz RR, Kabat W, Optical immunoassay test for group A -hemolytic
streptococcal pharyngitis. JAMA. 1997; 277:899-903 [Medline]
Dale JC, Vetter EA, Contezac JM, Iverson LK, Wollan PC, Cockerill FR III
Evaluation of two rapid antigen assays, BioStar Strep A OIA and Pacific
Biotech CARDS O. S., and culture for detection of group A streptococci in
throat swabs. J Clin Microbiol. 1994; 32:2698-2701 [Abstract]
Roe M, Kishiyama C, Davidson K, Schaefer L, Todd J Comparison of BioStar A
OIA optical immune assay, Abbott TestPack Plus Strep A, and culture with
selective media for diagnosis of group A streptococcal pharyngitis. J Clin
Microbiol. 1995; 33:1551-1553 [Abstract]
Lieu TA, Fleisher GR, Schwartz JS Cost-effectiveness of rapid latex
agglutination testing and throat culture for streptococcal pharyngitis.
Pediatrics. 1990; 85:246-256 [Abstract]
Think we can come to some closure on this issue??
"Of course that's only my opinion. I could be wrong"
Martin Herman, M.D.
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