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Test Code THRSS Strep Screen, Throat

Infectious

Additional Codes

EPIC LAB4539

Purpose

The Acceava Strep A kit is a rapid, qualitative lateral flow immunoassay procedure allowing the early diagnosis and treatment of Group A Strep pharyngitis. After the chemical extraction of the unique carbohydrate antigen of Strep. pyogenes, a strip with a test line of antibodies to the strep A carbodydrate on the membrane is placed in the extraction fluid. As the extraction fluid moves up the membrane the Group A Strep antigens will bind with the antibody conjugated color particles. The complex will form a red line indicating a positive result. Further up the strip is a built in procedural control line which will turn red if the test has been performed properly. Additionally, specimens are cultured to screen for other groups of beta strep.

 

The group identification of Streptococcus in clinical specimens may play a role in patient diagnosis, treatments, and infection control activities. Group A strep, also known as Strep. pyogenes. Is a catalase negative gram positive cocci covered with the Lancefield group A antigen. This organism is most frequently the cause of pharyngitis, and tonsilitis. Other serious diseases associated with this organism include impetigo, scarlet fever, and puerperal sepsis. Serious complications such as rheumatic fever, peritonsillar abscesses, and glomerular nephritis can occur if left untreated.

Methodology

Lateral flow immunoassay with conventional culture.

Sample Type

  • Culture Swab

Specimens are obtained by vigorously swabbing the throat, especially the tonsillar crypt and white patchy areas.

Specimen Stability

Culture Transport System

Temperature Time
Ambient (18-25°C) 24 hours
Refrigerated (2-8°C) 24 hours
Frozen (-15 to -20°C) N/A

 

Dry/Sterile Container

Temperature Time
Ambient (18-25°C) 4 hours
Refrigerated (2-8°C) 24 hours
Frozen (-15 to -20°C) N/A

 

Rejection Criteria

  • Specimens outside specified stability limits.
  • Calcium alginate, cotton swabs, systems using charcoal or semi-solid transport media.
  • Swabs with wooden shafts.

Availability

Performed STAT
24/7 Yes (SGA EIA only)

 

Performing Laboratory

MultiCare Yakima Memorial Hospital Laboratory

Lab Department

Microbiology

CPT Code

87880

87081

LOINC

78012-2 S. pyogenes Ag IA.rapid QI (Throat)

546-2 Streptococcus.beta-hemolytic Org specific cx QI (Throat)

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