We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Use of Rapid Group A Strep Throat Screening Tests

E. Noel Preston, MD
Am J Dis Child. 1987;141(4):397. doi:10.1001/archpedi.1987.04460040055004.
Text Size: A A A
Published online


Sir.—In the PEDIATRIC FORUM of September 1986, DiNicola1 described the use of rapid group A strep throat (GAS) screening tests and observed "Not infrequently, the rapid GAS screening test was negative, with the concomitant conventional TC [throat culture] subsequently noted to be positive for GAS." DiNicola used runnystuffy nose, cough, conjunctivitis, hoarseness, and temperature over 37.8°C (100°F) as aids to determine whether to prescribe an antistrep antibiotic regardless of the result of the rapid GAS screen. If an afebrile child had two or more of these findings and a negative rapid strep screen, DiNicola did not prescribe an antibiotic. But if a child had a sore throat with or without fever and only one of the above findings and a negative rapid GAS screen, DiNicola prescribed an oral antistrep drug as soon as possible.

Is DiNicola suggesting that the more symptoms a child has with a sore throat


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.