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Definition:
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A streptococcal screen is a test to detect group A streptococcus, the most common cause of strep throat.
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Alternative Names:
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Rapid strep test
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How the test is performed:
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The test requires a throat swab. It takes about 7 minutes. The swab is tested to identify group A streptococcus, the cause of strep throat.
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How to prepare for the test:
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There is no special preparation. Inform the health care provider if you are taking, or have recently taken, antibiotics.
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How the test will feel:
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Your throat will be swabbed in the area of the tonsils. This may make you gag.
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Why the test is performed:
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Your health care provider may order this test if you have signs of strep throat, which include:
- Fever
- No coughing
- Tender and swollen glands in the front of the neck
- White or yellow spots on the tonsils
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Normal Values:
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A negative strep screen most often means Group A streptococcus is not present. It is unlikely that you have strep throat.
If your health care provider still feels that you may have strep throat, a throat culture will be done.
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What abnormal results mean:
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A negative strep screen most often means Group A streptococcus is present, and confirms strep throat.
At times, the test may be positive even if you do not have strep. This is called a false-positive result and is more likely if you have a fever or the symptoms of strep throat.
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What the risks are:
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There are no risks.
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Special considerations:
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This test screens for the group A streptococcus bacteria only and will not detect other causes of sore throat.
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References:
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Wessels MR. Clinical practice. Streptococcal pharyngitis. N Engl J Med. 2011;364(7):648-655.
Weber R. Pharyngitis. In: Bope ET, Kellerman RD, eds. Conn's Current Therapy 2012. 1st ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 1.
Nussenbaum B, Bradford CR. Pharyngitis in adults. In: Flint PW, Haughey BH, Lund LJ, et al, eds. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Eslevier; 2010:chap 13.
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