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Reader Remarks on:
Preventing Rheumatic Fever: A New Guideline from the AHA
Culture for GAS
HAI PHUOC LE, EDMONTON,ALBERTA,CANADA, 3 Apr 2009 1:05 PM EST
Competing interests: None declared
If pretest probability is high, why should culture ( or rapid antigen test ) be performed /
adults and amoxicilline
jasna mv, 14 Apr 2009 10:53 AM EST
Competing interests: None declared
so 1gr once a day if they have more then 20kg even if they have 100kg? is that correct?
Timing
werner kaiser, practician, 14 Apr 2009 10:53 AM EST
Competing interests: None declared
after taken culture start with antibiotic therapy instantly?
Response to queries
Howard Bauchner, BUSM and Associate Editor, Journal Watch Pediatrics and Adolescent Medicine, 17 Apr 2009 1:56 AM EST
Competing interests: None declared
1. Guidelines still suggest a positive rapid strept or culture - even if high pretest probability; would never excede 50-75% confirmation. 2. According to guideline - Table 2 - maximum dose is 1 gram. 3. Can culture and treat - although data about relief of symptoms with antibiotics is minimal.
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