June 2015. Volume 11. Number 2

Rapid antigen streptococci test should be available in Primary Care pediatrics

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Lean WL, Arnup S, Danchin M, Steer AC. Rapid diagnostic tests for group A streptococcal pharyngitis: a meta-analysis. Pediatrics. 2014;134:771-81.
Reviewers: García Vera C1, Esparza Olcina MJ2.
1CS Sagasta-Ruiseñores. Zaragoza. España.
2Centro de Salud Barcelona. Móstoles. Madrid. España.
Correspondence: César García Vera. Email: cgarciavera@gmail.com
Reception date: 20/03/2015
Acceptance date: 23/03/2015
Publication date: 25/03/2015

Abstract

Authors’ conclusions: the rapid streptococci test is accurate and can be used to streamline pharyngitis treatment in primary care. Backup cultures for negative results may not be necessary in low incidence rheumatic fever settings. The new molecular tests have better sensitivity but are less rapid.

Reviewers’ commentary: rapid antigen detection streptococci tests are sensible and specific enough to be used in primary care pediatrics for deciding what pharyngitis could benefit of antibiotic treatment in children of higher group A streptococcus infections’ prevalence. Control cultures to confirm negative tests may be necessary only in areas with high incidence of rheumatic fever.

How to cite this article

García Vera C, Esparza Olcina MA. Se debería disponer de test rápido de detección de antígeno estreptocócico en Atención Primaria pediátrica. Evid Pediatr. 2015;11:25.

AVC | Critically appraised articles

Lean WL, Arnup S, Danchin M, Steer AC. Rapid diagnostic tests for group A streptococcal pharyngitis: a meta-analysis. Pediatrics. 2014;134:771-81.
Reviewers: García Vera C1, Esparza Olcina MJ2.
1CS Sagasta-Ruiseñores. Zaragoza. España.
2Centro de Salud Barcelona. Móstoles. Madrid. España.
Correspondence: César García Vera. Email: cgarciavera@gmail.com
Reception date: 20/03/2015
Acceptance date: 23/03/2015
Publication date: 25/03/2015

How to cite this article

García Vera C, Esparza Olcina MA. Se debería disponer de test rápido de detección de antígeno estreptocócico en Atención Primaria pediátrica. Evid Pediatr. 2015;11:25.

References

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25/03/2015

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