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Signs of a Positive Strep Test: What You Should Know

Signs of a Positive Strep Test: What You Should Know

A positive strep test indicates the presence of Streptococcus pyogenes, the bacteria responsible for strep throat. Common symptoms include a sore throat, difficulty swallowing, swollen tonsils, and white patches on the throat. At Kidswood Pediatrics, Dr. Zully Ambroise, M.D., provides accurate strep testing and treatment to ensure a quick recovery. If you or your child exhibits symptoms, contact us for an evaluation and proper treatment. For more information, contact us or schedule an appointment online. We are located at 1680 Lee Rd, Winter Park, FL 32789.

Signs of a Positive Strep Test: What You Should Know - Kidswood Pediatrics in Winter Park, FL
Signs of a Positive Strep Test: What You Should Know - Kidswood Pediatrics in Winter Park, FL

Table of Contents:

What are the common signs of a positive strep test?
How can you tell if a strep test is positive or negative?
Can a positive strep test result be wrong?
Are there any follow-up tests needed after a positive strep test?

What are the common signs of a positive strep test?


When a child at Kidswood Pediatrics tests positive for strep throat, they may exhibit several symptoms. A sudden, severe sore throat is one of the most common indicators, often making swallowing painful and uncomfortable. Fever is another typical symptom, as the body works to fight off the bacterial infection. Our team is here to alleviate these symptoms and provide effective care.

In addition to a sore throat and fever, children may have red and swollen tonsils, sometimes with white patches or streaks of pus. Swollen lymph nodes in the neck are also frequently observed as the body’s immune response to the infection. Our pediatricians are skilled at recognizing these signs and symptoms to ensure a prompt and accurate diagnosis.

While less common, some children may experience headaches, nausea, vomiting, or a distinctive rash known as scarlet fever, which feels like sandpaper. We understand that each child may present differently, and our personalized approach ensures that we cater to the unique needs of each patient.

If you suspect your child might have strep throat, we offer rapid strep tests and throat cultures to confirm the diagnosis. Our team will then develop a treatment plan tailored to your child’s needs, often involving antibiotics to eliminate the infection and prevent complications.

We are committed to keeping your child healthy and happy. Our compassionate care and expertise in managing pediatric infections mean you can trust us to support your child through any illness, including strep throat.

How can you tell if a strep test is positive or negative?


At Kidswood Pediatrics, ensuring the accurate diagnosis and prompt treatment of strep throat is a priority to keep our young patients healthy and comfortable. When you bring your child with symptoms of a sore throat, fever, or swollen lymph nodes, our healthcare providers may perform a rapid strep test. This involves a gentle swab of the back of the throat and tonsils to detect antigens associated with Group A Streptococcus bacteria. A positive RADT result indicates a strep infection and allows us to initiate treatment quickly, often within the same visit.

In instances where the rapid test is negative, but our experienced pediatricians still suspect a strep infection based on your child’s symptoms and medical history, we may recommend a follow-up throat culture. This more sensitive test involves a similar swab but is sent to a lab to allow any bacteria to grow over 24 to 48 hours. A positive culture confirms the presence of the bacteria, ensuring we don’t miss an infection that requires treatment.

We understand that quick and accurate diagnosis is crucial, especially in children, to prevent complications and promote swift recovery. Our team combines advanced testing methods with thorough clinical evaluations to provide a comprehensive approach to your child’s health care.

Can a positive strep test result be wrong?


When diagnosing strep throat, rapid strep tests are commonly used because they provide quick results, allowing for timely treatment decisions. These tests detect antigens from Group A Streptococcus bacteria and are generally reliable. However, they are not infallible. The sensitivity of rapid strep tests typically ranges from 70% to 90%, meaning some cases may be missed (false negatives). On the other hand, their specificity is high, often exceeding 95%, which minimizes false positives but does not eliminate them completely.

Certain factors can contribute to an inaccurate positive result. Cross-reactivity with other bacteria in the throat or improper sample collection can sometimes lead to errors. If a rapid strep test produces unexpected results or does not align with a patient’s symptoms, a follow-up throat culture may be recommended. Though throat cultures take longer, they are considered the gold standard for accuracy in diagnosing strep throat and can confirm or rule out the presence of Group A Streptococcus.

Additionally, some individuals can be asymptomatic carriers of the bacteria, meaning they test positive without having an active infection. This can make it challenging to determine whether symptoms are truly caused by strep throat or another condition. While a positive test result strongly suggests infection, it is important to interpret it in the context of clinical symptoms and medical history. Healthcare providers take a comprehensive approach to diagnosis, ensuring that patients receive appropriate care and further testing if necessary.

Are there any follow-up tests needed after a positive strep test?


At Kidswood Pediatrics, we prioritize the health and well-being of your child, especially when it comes to common infections like strep throat. When your child receives a positive strep test at our practice, follow-up tests are generally not needed if they respond well to the initial antibiotic treatment. However, we understand that each child is unique, and our pediatricians are committed to providing personalized care based on your child’s specific needs.

While most children recover quickly with antibiotics, there are situations where additional follow-up tests might be necessary:

Persistent Symptoms: If your child’s symptoms continue despite completing antibiotic treatment, our pediatricians may recommend further evaluation. This could involve re-testing to ensure the bacteria have been eradicated or investigating other underlying conditions contributing to the symptoms.

Suspected Complications: Although rare, untreated strep throat can lead to serious complications like rheumatic fever or post-streptococcal glomerulonephritis. If your child develops symptoms such as joint pain, a rash, or blood in the urine, we may conduct further tests to assess and manage these potential issues promptly.

Recurrent Infections: For children experiencing multiple strep throat infections in a short period, our team may explore additional diagnostic options. This could include evaluating household contacts to identify asymptomatic carriers or investigating other causes of recurrent sore throats.

We encourage open communication between parents and our healthcare team. Keeping us informed about your child’s symptoms and their response to treatment helps us determine the best course of action and ensures your child receives the highest standard of care.

While follow-up tests after a positive strep diagnosis are not routinely required, they may be necessary in specific circumstances. Our dedicated team at Kidswood Pediatrics is here to support your child’s health journey, providing the guidance and care needed to keep them thriving. For more information, contact us or schedule an appointment online. We are located at 1680 Lee Rd, Winter Park, FL 32789. We serve patients from Winter Park FL, Goldenrod FL, Lockhart FL, Maitland FL, Apopka FL, Casselberry FL, Oviedo, FL, and surrounding areas.