Sore Throat Pathway - Swab asymptomatic household contacts if >3 cases of GAS pharyngitis in last 3/12 or PH, FH or household Hx of RF
- Public Health do not have the resources to do this.
- Follow up of household contacts is a General Practice led service, the cost for which should be at the discretion of the practice. Those identified as meeting the criteria for swabbing should be contacted and offered throat swabs.
- In the WBOP the WBOPPHO Wellness Centre will carry out free throat swabbing but require laboratory forms to be completed by the GP who would also be responsible for followup of the results.
- School-based clinics may follow up their own Household Contacts on some occasions but this should not be assumed.
Reference: New Zealand Guidelines for Rheumatic Fever; 2014 Update.
How should asymptomatic household contacts of GAS-culture positive pharyngitis patients be managed?
It is not recommended that throat swabs for culture be taken from asymptomatic household contacts unless any household member, including the GAS positive index case has a personal, family or household history of ARF or unless there have been three or more cases of symptomatic GAS positive pharyngitis in the household in the last three months.
Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016
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