Implementation of a Highly Accurate Rapid Point-of-Care Test for Group a Streptococcus Detection at a Large Pediatric Emergency Department in South London.
Demirjian, Alicia;
Bustinduy, Amaya L;
Ladhani, Shamez;
Iqbal, Yasser;
Sharland, Mike;
(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: https://doi.org/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.