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European Journal of Clinical Microbiology & Infectious Diseases

Erschienen in:

06.06.2018 | Original Article

Rapid antigen test use for the management of group A streptococcal pharyngitis in community pharmacies

verfasst von: Béatrice Demoré, Gianpiero Tebano, Julien Gravoulet, Christophe Wilcke, Eric Ruspini, Jacques Birgé, Jean-Marc Boivin, Sandrine Hénard, Annick Dieterling, Lidiana Munerol, Julie Husson, Christian Rabaud, Céline Pulcini, Sophie Malblanc

Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases | Ausgabe 9/2018

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Abstract

Despite group A streptococci being an infrequent cause of pharyngitis in adult outpatients, sore throat remains a common indication for antibiotic prescription. This prospective multicentre non-randomised study describes a community pharmacy-based antimicrobial stewardship intervention consisting in the implementation of rapid antigen testing (RAT) for the management of adults with sore throat. Trained pharmacists triaged patients presenting with symptoms of pharyngitis using the modified Centor score. Those at risk for streptococcal infection were tested with RAT. Patients with a positive RAT were invited to consult a physician, whereas others were offered a symptomatic treatment. All patients received educational leaflets and were asked to fill in a follow-up form 7 days later. Ninety-eight pharmacies in one French region participated, and 559 patients were included over 6 months. RAT was proposed in 367 (65.7%) cases, and it was positive in 28 (8.3%). The follow-up form was returned by 140 (38.5%) participants. Of these, 10/10 patients with positive RAT further consulted a physician and were prescribed an antibiotic treatment, whereas 96.5% (110/114) of patients with negative results and not having any other reason to seek for doctor’s advice did not consult. All participants found the intervention useful. Pharmacists spent 6–15 min to perform the intervention, and 98.6% (73/74) of pharmacists giving a feedback declared to be ready to implement this intervention in daily practice, if endorsed and reimbursed. Our results suggest that a pharmacy-based programme for the management of sore throat is feasible and could increase adherence to guidelines.

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Titel: Rapid antigen test use for the management of group A streptococcal pharyngitis in community pharmacies
verfasst von: Béatrice Demoré
Gianpiero Tebano
Julien Gravoulet
Christophe Wilcke
Eric Ruspini
Jacques Birgé
Jean-Marc Boivin
Sandrine Hénard
Annick Dieterling
Lidiana Munerol
Julie Husson
Christian Rabaud
Céline Pulcini
Sophie Malblanc
Publikationsdatum: 06.06.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases / Ausgabe 9/2018
Print ISSN: 0934-9723
Elektronische ISSN: 1435-4373
DOI: https://doi.org/10.1007/s10096-018-3293-8

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Rapid antigen test use for the management of group A streptococcal pharyngitis in community pharmacies

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