Strep

A strep test is a diagnostic tool used to detect the presence of Streptococcus bacteria, specifically Group A Streptococcus (GAS), which causes strep throat. This test helps to diagnose and treat strep throat, preventing complications and the spread of infection.

What is it?

A strep test is a medical test used to determine if a sore throat is caused by a Group A Streptococcus (GAS) infection. It involves taking a throat swab to detect the presence of the bacteria. There are two main types of strep tests: the rapid strep test and the throat culture.

What happens during the procedure:

The process of performing a strep test typically involves the following steps:

  1. Preparation:
    • The patient is asked to open their mouth wide and say “ah” to expose the throat and tonsils.
    • A tongue depressor may be used to keep the tongue down.
  2. Sample Collection:
    • A sterile swab is rubbed over the back of the throat and tonsils to collect a sample of secretions.
    • This process may cause slight discomfort or gagging but is quick.
  3. Rapid Strep Test:
    • The swab is then tested on-site using a rapid antigen detection kit.
    • Results are typically available within 10-20 minutes.
  4. Throat Culture:
    • Alternatively, the swab can be sent to a laboratory for a throat culture.
    • This test is more accurate but takes 24-48 hours for results.

Benefits:

  • Quick Diagnosis: Rapid strep tests provide results in minutes, allowing for prompt diagnosis and treatment.
  • Accurate Detection: Identifies the presence of Group A Streptococcus, enabling targeted antibiotic treatment.
  • Prevents Complications: Early diagnosis and treatment of strep throat can prevent complications such as rheumatic fever, kidney inflammation, and the spread of infection.
  • Reduces Symptoms: Timely treatment helps alleviate symptoms more quickly, improving patient comfort and reducing the duration of illness.

Things to keep in mind:

  • False Negatives: Rapid strep tests can sometimes produce false-negative results. A throat culture is recommended if strep throat is still suspected despite a negative rapid test.
  • Antibiotic Resistance: Overuse of antibiotics can lead to resistance. It’s important to confirm a strep infection before using antibiotics.
  • Follow-Up: If symptoms persist or worsen after a negative test, a follow-up visit to the healthcare provider is necessary.
  • Contagion: Strep throat is contagious. Patients should avoid close contact with others until they have been on antibiotics for at least 24 hours and symptoms improve.

Alternatives:

  • Throat Culture: More accurate than the rapid strep test but takes longer to get results. It involves the same swab procedure but is sent to a lab for culturing.
  • Clinical Diagnosis: Based on symptoms and physical examination, though this method is less reliable without laboratory confirmation.
  • Molecular Tests (PCR): Polymerase chain reaction (PCR) tests are highly sensitive and can detect strep bacteria quickly, though they are not as commonly used due to higher costs and complexity.