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NICE review finds new strep A test could help GPs reduce antibiotics for sore throat


great if you only do the test when you see someone you want to give antibiotics to with purulent tonsils fever for a week looking a bit rubbish then a negative strep test means one less antibiotic prescription. when i worked in canada many doctors did it as a screning test for everyone wone with urti even those with no sore throat, hence over diagnosis and over treatment in those just colonised with strep which is 20% in kids. if pharmacies will be doing these to all sore throat and as above they mention doing it on those with 0 or 1 centor score to reassure them abx not needed. guess what? that will mean giving abx to 20% of viral infections because thats how many are just colonised. the test does not mean strep is causing infection just that its present so it has to look like a strep infection to mean anything.

Posted date

06 May 2018

Posted time