Thursday, September 8, 2016

How is Strep Throat Diagnosed?

RADT


If you find yourself suffering from a sore throat, you must visit a doctor so he or she can examine your throat and look for signs of inflammation. The specialist can also look for swollen tonsils and identify any accompanying symptoms. If the doctor thinks that you may have strep, a throat culture can be performed.

Rapid Antigen Detection Test (RADT)


The RADT is the quickest way to determine if strep infection or any other germ or bacteria is causing your sore throat. Your doctor will collect a sample from back of your throat with a cotton swab. The sample will then be taken to the lab to check for any signs of bacteria.

The rapid antigen detection test can detect strep bacteria in a few minutes by identifying antigens in your throat. If your test gives a negative result but the doctor isn’t quite sure that you don’t have strep throat, additional testing will be required.

Throat Culture Detection Test


The doctor rubs a cotton swab in the back of your tonsils and throat in order to obtain a sample of your secretions. It won’t hurt but it might make you gag. The sample taken from your throat gets cultured in a laboratory to look for any sign of the bacteria, and the process takes about two days.
Your doctor may decide to start the antibiotic treatment before the results are ready if you have most of the following symptoms:
     Fever of 101°F or higher
     Coating or yellow or white spots on the tonsils or throat.
     Tender or swollen lymph nodes
     No signs of a common cold or any other viral infection
Even though the RADT is quicker than the throat culture, they are not equally precise. Most of the rapid antigen detection tests are 95% accurate while throat cultures are close to 100%. Most doctors recommend that quick tests be properly confirmed with throat cultures. 


When is it ordered?


A doctor will order you to take one of these tests if you have a sore throat or other symptoms related to the infection. People that have been in contact with an infected person require diagnosis. Any other individual should call a doctor to get tested if they show the following symptoms:
     Sore throat for more than a week
     Fever
     Inflamed tonsils or throat with yellow or white patches
     Small red spots on the roof of the mouth
     Severe pain or difficulty when swallowing
     Body or head aches
     Vomitingor nausea
     Swollen or tender lymph nodes
     Rash
     Hoarseness for more than 15 days
     Blood in mucus or saliva
     Excessive drooling in kids
   Dehydration, dry mouth, thirst, or decreased urination

Tests are not recommended if you have symptoms related to a viral infection, like cough, mouth sores or a runny nose. In the case of children under three years of age, it is not advisable to administer a throat test, unless they are at a risk of contagion. In general, it is not recommended asymptomatic people take tests even if they have been in contact with people infected with strep throat.

Related  Strep Throat: Do I Really Need Antibiotics?