On Mon, 14 Sep 1998, Brent King wrote [snip]:
> 1. Do you use rapid strep testing in the ED?
> 2. If yes, what do you do about negative test results?
We use rapid strep screen at both Egleston and Hughes Spalding. Both labs
have tested the available kits against cultures and are comfortable with
the sensitivity and specificity.
If the rapid strep is positive, the patient is treated and no further
testing is done. If the test is negative, a strep culture is done by the
labs, with the results sent back to the ED within 48 hours. The parents
are contacted for any positive test and a prescription is called into
their pharmacy of choice (all of this is documented is the patient's
We have been doing this for almost 2 years and it has been working very
well for us.
Jeff Linzer MD MICP
Division of Emergency Medicine
Associate Medical Director, PECC
Hughes Spalding Children's Hospital
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