Efficiency of Rapid Antigen Test in Diagnosis of Acute Streptococcal Tonsillopharyngitis

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dc.contributor.authorAcar, Tarik
dc.contributor.authorErtekin, Birsen
dc.contributor.authorGirisgin, Abdullah Sadik
dc.contributor.authorOzturk, Esma
dc.contributor.authorBilgi, Serpil
dc.date.accessioned2024-02-23T14:34:54Z
dc.date.available2024-02-23T14:34:54Z
dc.date.issued2019
dc.departmentNEÜen_US
dc.description.abstractObjective: Group A beta hemolytic streptococcus (GABHS) is the most common bacterial cause of acute tonsillopharyngitis. Cases with bacterial infection suspicion should undergo rapid antigen test (RAT) and/or throat culture test in addition to clinical criteria, since it may lead to serious complications. Method: A total of 220 adult and pediatric patients admitted to the emergency department between April-May 2016 with complaints of fever and sore throat, and diagnosed as acute tonsillopharyngitis were prospectively enrolled to the study. All participants had Centor score >= 2 and they underwent RAT. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of RAT results of both groups were compared. Throat culture was considered as gold standard method. Results: Mean age of the study population was 22,5 +/- 16,9 (1-72) years. 57% (n=61) of the pediatric group, and 42.5% (n=48) of adult group were male. Sensitivity of RAT in adults and pediatric group was 62% vs. 57%, and specificity of the test was 96% vs. 97%, PPV was 55% vs. 80%, and NPV was 97% vs. 93%, respectively. Conclusion: We found low sensitivity and PPV values of RAT. Also, low levels of sensitivity decrease the possibility of RAT to be a diagnostic tool for the diagnosis of GABHS.en_US
dc.identifier.doi10.33808/clinexphealthsci.600033
dc.identifier.endpage245en_US
dc.identifier.issn2459-1459
dc.identifier.issue3en_US
dc.identifier.startpage241en_US
dc.identifier.urihttps://doi.org/10.33808/clinexphealthsci.600033
dc.identifier.urihttps://hdl.handle.net/20.500.12452/15803
dc.identifier.volume9en_US
dc.identifier.wosWOS:000493400900008en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherMarmara Univ, Inst Health Sciencesen_US
dc.relation.ispartofClinical And Experimental Health Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPharyngitisen_US
dc.subjectStreptococcien_US
dc.subjectEmergency Careen_US
dc.subjectRapid Antigen Testen_US
dc.subjectCultureen_US
dc.titleEfficiency of Rapid Antigen Test in Diagnosis of Acute Streptococcal Tonsillopharyngitisen_US
dc.typeArticleen_US

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