Testing for Group A Strep in children less than 3 years old is not recommended. An appropriate test for strep in this age group is only indicated if the child has been exposed to a positive contact or shows signs of complications, in addition to displaying the appropriate symptoms. This paper analyzes the factors that contribute to appropriate and inappropriate strep testing of children under 3. The results showed no significant effect from the type of ordering provider or age of the child, but revealed that inappropriate testing was more common at emergency departments and at the start of data collection. These results were attributed to parental anxiety in emergency situations and the educational programs that were instituted during the course of the study. Future studies should investigate whether parental anxiety and educational programs do influence appropriate/inappropriate testing and evaluate the efficacy of strategies that intend to reduce inappropriate testing.
Bayless, S. (2020). Inappropriate Testing of Streptococcal Pharyngitis in Children Less than Three Years Old. Wright State University. Dayton, Ohio.