About this trial
The purpose of the research is to help understand why some children become carriers of strep and whether children who are carriers need to be treated with antibiotics.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children ages 5-15 years
Positive rapid antigen detection test for group A streptococcus
Parent or legal guardian present and able to provide consent
Provider prescribes treatment with a beta lactam antibiotic
Disqualifiers
Unable to take beta lactam antibiotics
Other concurrent bacterial infection, i.e., pneumonia
Trial population
Children will be eligible for this study if they are ages 5 to 15 years and have been diagnosed to have acute pharyngitis caused by GAS (with a positive rapid antigen detection test (RADT). Children will be excluded if they are unable to take beta lactam antibiotics. Children will be enrolled at UW Health sites in Madison, Wisconsin, including both pediatric ambulatory care clinics and urgent care clinics. The study team will offer participants the option to complete follow-up study visits in-clinic
Trial design
Cohort
Prospective
Treatments tested in this trial
Identifying group A strep carriers
Other interventionAt study entry, at 14 days, and if follow up is positive, again in 14-21 days: Standard culture for GAS and analysis of mRNA.
Treatment groups
Trial outcomes
Primary outcomes
Identifying children who are pharyngeal carriers of Group A streptococcus
The specific aim of this study is to identify 30 children with acute pharyngitis due to Group A streptococcus (GAS) and 30 children who are pharyngeal carriers of GAS. Thirty percent of children 4 to 16 years of age with acute pharyngitis occurring between October and May will have a positive culture or rapid antigen detection test for GAS. Approximately 10-15% of these children with pharyngitis and a positive culture or rapid antigen detection test (RADT) for GAS will be carriers
Sponsors and contacts
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University of Wisconsin, Madison
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborator