Implementation of a Highly Accurate Rapid Point-of-Care Test for Group a Streptococcus Detection at a Large Pediatric Emergency Department in South London.

Alicia Demirjian; Amaya L Bustinduy ORCID logo; Shamez Ladhani; Yasser Iqbal; Mike Sharland; (2019) Implementation of a Highly Accurate Rapid Point-of-Care Test for Group a Streptococcus Detection at a Large Pediatric Emergency Department in South London. The Pediatric Infectious Disease Journal, 38 (8). e183-e185. ISSN 0891-3668 DOI: 10.1097/INF.0000000000002284
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Rapid group A Streptococcus point-of-care testing is not currently used in the United Kingdom in the management of acute tonsillitis. This prospective, observational study describes a strong association between a molecular-based point-of-care testing result and outpatient antibiotic prescribing (odds ratio = 48; P < 0.001) in 339 children seen at our center. It highlights challenges in implementing new rapid diagnostics.


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