TABLE 2.
Physician outcome | Therapeutic choice before Strep A OIA result | Therapeutic choice after Strep A OIA result | No. (%) of events
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---|---|---|---|---|---|---|---|---|---|---|
When physician and Strep A OIA agree
|
When physician and Strep A OIA disagree
|
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Physician presumes GABHS
|
Physician presumes not GABHS
|
Physician presumes GABHS
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Physician presumes not GABHS
|
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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 |
Strep A OIA result versus culture result.