Rapid Streptococcal Antigen Detection Test Performed by Parents of Children with Sore Throat.

Autor: Finkelstein, Stan N., Horowitz, Gary L., Diamond, David V., Bartels, Pat, Joseph, Jocelyn, Hartman, Lester, Blander, Jeffrey, Slack, Warner V.
Předmět:
Zdroj: Journal of Participatory Medicine; 2017, Vol. 9, p6-6, 1p
Abstrakt: Background. Sore throat in children is among the most common of medical problems to result in a primary care office visit. A rapid point-of-care antigen detection test for group A streptococcal pharyngitis is already in routine office use in clinical facilities but not generally available to the public. We tested the hypothesis that parents themselves would be able perform the rapid strep test for their children and thereby be able to avoid, when medically appropriate, the cost and inconvenience of an office visit. Methods. In a pediatric clinic serving a 25,000-member university community, parents of patients ages 5 to 16 with the presenting problem of sore throat or upper respiratory infection were invited to participate in our study. If a rapid strep test was indicated, participating parents performed the throat swabbing and strep test while being observed by a clinic staff member. Regular clinic protocol was then followed for subsequent bacterial culture and antibiotic treatment. Results. Among 120 parents invited to participate, 76 agreed and 71 successfully performed the throat swabbing and rapid strep test. Most of the participants were confident or at least somewhat confident in their swabbing and testing. Conclusions. If the parents of these children had been able to perform the rapid step test in their homes, visits to the clinic could have been avoided; no school or work time would have been lost; and physicians and clinic staff could have focused their efforts on more emergent needs, all without compromise to these patients. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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