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. 1998 Dec;36(12):3468–3473. doi: 10.1128/jcm.36.12.3468-3473.1998

TABLE 2.

Therapeutic strategies before and after availability of results of Strep A OIA: WIC patients

Physician outcome Therapeutic choice before Strep A OIA result Therapeutic choice after Strep A OIA result No. (%) of events
When physician and Strep A OIA agree
When physician and Strep A OIA disagree
Physician presumes GABHS
Physician presumes not GABHS
Physician presumes GABHS
Physician presumes not GABHS
True positivea False positive True negative False negative True negative False negative True positive False positive
Total 15 (11.3) 1 (0.8) 113 (85.0) 4 (3.0) 33 (80.5) 0 (0.0) 7 (17.1) 1 (2.4)
OIA result does not change therapy No antibiotic No antibiotic 0 0 79 3 1 0 1 0
2 days 2 days 0 0 3 0 1 0 0 0
10 days 10 days 10 0 10 0 12 0 1 0
OIA result changes planned 2- or 10-day therapy to no therapy 2 days No antibiotic 0 0 10 1 14 0 0 0
10 days No antibiotic 0 0 0 0 3 0 0 0
OIA result changes no therapy or 2-day therapy to 10-day therapy No antibiotic 10 days 0 0 8 0 1 0 4 0
2 days 10 days 5 1 0 0 1 0 1 1
OIA result creates uncertainty No antibiotic 2 days 0 0 1 0 0 0 0 0
10 days 2 days 0 0 2 0 0 0 0 0
a

Strep A OIA result versus culture result.