OBJECTIVE: To evaluate an optical immunoassay rapid antigen test to detect group A beta-hemolytic streptococci directly from throat swab specimens. DESIGN: Criterion standard with "blinded" comparison. Double-swab pharyngeal samples were obtained; one swab was cultured and the other was used for the rapid antigen test. SETTING: Microbiology laboratory in a primary care center at a university teaching hospital. PATIENTS: Two hundred sixty-two outpatients with pharyngitis. MAIN OUTCOME MEASURE: The results of the optical immunoassay rapid antigen test were compared with results of standard aerobic culture. RESULTS: Sixty-two (24%) of 262 samples were culture-positive; 48 of these 62 were positive by the optical immunoassay rapid test (sensitivity, 77%). Of the 200 culture-negative samples, seven (4%) were positive by the rapid test (specificity, 96%). CONCLUSION: The optical immunoassay performed well, but like other rapid tests, is not sensitive enough to replace standard culture for detection of group A beta-hemolytic streptococci.
OBJECTIVE: To evaluate an optical immunoassay rapid antigen test to detect group A beta-hemolytic streptococci directly from throat swab specimens. DESIGN: Criterion standard with "blinded" comparison. Double-swab pharyngeal samples were obtained; one swab was cultured and the other was used for the rapid antigen test. SETTING: Microbiology laboratory in a primary care center at a university teaching hospital. PATIENTS: Two hundred sixty-two outpatients with pharyngitis. MAIN OUTCOME MEASURE: The results of the optical immunoassay rapid antigen test were compared with results of standard aerobic culture. RESULTS: Sixty-two (24%) of 262 samples were culture-positive; 48 of these 62 were positive by the optical immunoassay rapid test (sensitivity, 77%). Of the 200 culture-negative samples, seven (4%) were positive by the rapid test (specificity, 96%). CONCLUSION: The optical immunoassay performed well, but like other rapid tests, is not sensitive enough to replace standard culture for detection of group A beta-hemolytic streptococci.
Authors: Young Kyung Yoon; Chan Soon Park; Jae Wook Kim; Kyurin Hwang; Sei Young Lee; Tae Hoon Kim; Do Yang Park; Hyun Jun Kim; Dong Young Kim; Hyun Jong Lee; Hyun Young Shin; Yong Kyu You; Dong Ah Park; Shin Woo Kim Journal: Infect Chemother Date: 2017-12