Potential of antigen detection tests

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6971.58c (Published 07 January 1995) Cite this as: BMJ 1995;310:58
  1. Jorgen Steen Andersen,
  2. Niels Jerne Borrild,
  3. Steen Hoffmann
  1. General practitioner General practitioner Bybuen 13, DK-2740 Skovlunde, Denmark
  2. Specialist in clinical microbiology Streptococcus Laboratory, Department of Bacteriology, Statens Seruminstitut, DK-2300 Copenhagen S

    EDITOR,—The Audit Commission has said that general practitioners prescribe antibiotics and other drugs irrationally and unnecessarily.1 The use of antigen detection tests may be a way to diagnose infection with group A streptococci rapidly in patients with a sore throat, thus enabling more rational prescribing of antibiotics. However, the overall impact of other kinds of near patient testing has been challenged.2

    We studied the impact of using antigen detection tests for group A streptococci (Abbott TestPack Strep A Plus, Concise Strep A (Hybritech), and Kodak SureCell Strep A) on the prescription of antibiotics by 34 general practitioners in 18 practices in Denmark. Patients with symptoms of a sore throat were consecutively enrolled into the study. On the basis of …

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