Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

No exudates or fever? Age over 11? Skip strep test

Key clinical point: In children with pharyngitis, it’s safe to skip group A Streptococcus testing if there are no exudates, children are 11 years or older, and there is either no cervical adenopathy or adenopathy without fever.

Major finding: The prevalence of group A Streptococcus among children who meet those criteria is 13%, less than the estimated asymptomatic carriage rate of about 15%.

Study details: Review of pharyngitis symptoms and strep results in 67,127 children.

Disclosures: There was no industry funding, and the lead investigator didn’t have any disclosures.