EurekaMag.com logo
+ Site Statistics
References:
52,725,316
Abstracts:
28,411,598
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Evaluation of a kit for rapid detection of group A streptococci in a pediatric emergency department


Cmaj 138(10): 917-919
Evaluation of a kit for rapid detection of group A streptococci in a pediatric emergency department
We evaluated a kit for the rapid detection of group A streptococci from throat swabs (Culturette Brand 10-Minute Group A Strep ID, Marion Scientific, Division of Marion Laboratories, Inc., Kansas City, Missouri) in the laboratory and in a busy pediatric emergency department. The sensitivity of the kit in the laboratory was 80% for all specimens and 94% for specimens with more than 10 colony-forming units of group A streptococci; the specificity was 99%. After initial training, emergency department pediatricians and nurses achieved sensitivities of 72% and 69% respectively. The specificity achieved by the pediatricians was 76% initially but 96% after further training. Untrained residents achieved a sensitivity of 58%. We conclude that this kit is potentially useful in the hands of adequately trained personnel, but without training the accuracy of the results is unacceptable. We recommended that the kit be used by designated staff trained and monitored by laboratory personnel.


Accession: 005395166

PMID: 3284627



Related references

Diagnostic accuracy of a rapid antigen detection test for group A beta-hemolytic streptococci performed by nurses in a pediatric emergency department. Pediatric Research 49(4 Part 2): 96A, April, 2001

Evaluation of four rapid direct antigen detection tests for group a streptococci from pediatric outpatients. Abstracts of the Annual Meeting of the American Society for Microbiology 86: 371, 1986

Rapid detection of group A streptococci from pediatric pharyngeal specimens utilizing OIA and directigen. Abstracts of the General Meeting of the American Society for Microbiology 95(0): 28, 1995

Evaluation of rapid sequence intubation in the pediatric emergency department. Jornal de Pediatria 87(4): 343-349, 2011

Rapid tests for detection of group a beta hemolytic streptococci gabhs use in practice and performance in an emergency room er. Pediatric Research 23(4 PART 2): 322A, 1988

Streptococcal pharyngitis in the pediatric emergency department: value and impact of rapid antigen detection test. Archives de Pediatrie 14(9): 1057-1061, 2007

Rapid human immunodeficiency virus testing in the pediatric emergency department: a national survey of attitudes among pediatric emergency practitioners. Pediatric Emergency Care 28(12): 1257-1262, 2013

A rapid genotyping test for the simultaneous detection and subtyping of group B streptococci: the frequency of molecular subtypes of group B streptococci in Korea. European Journal of Clinical Microbiology & Infectious Diseases 29(10): 1287-1290, 2010

Comparison of two antigen detection techniques for group A streptococcal pharyngitis in a pediatric emergency department. Pediatric Infectious Disease Journal 6(11): 1071-1072, 1987

Evaluation of the diagnostic accuracy of a kit for the rapid detection of group A streptococci. Microbios 77(313): 253-259, 1994