87652 Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification

Name of the Procedure:

Infectious Agent Detection by Nucleic Acid (DNA or RNA); Streptococcus, Group A, Quantification

Summary

This procedure involves detecting and measuring the amount of Group A Streptococcus bacteria using advanced molecular techniques. It analyzes the genetic material (DNA or RNA) of the bacteria to determine its presence and quantify its levels in the patient’s sample.

Purpose

This test is used to diagnose infections caused by Group A Streptococcus bacteria, which can lead to conditions like strep throat, scarlet fever, and rheumatic fever. The goal is to accurately identify the infection, measure bacterial load, and guide appropriate treatment.

Indications

• Sore throat with fever and swollen lymph nodes
• Red and swollen tonsils, sometimes with white patches or streaks of pus
• Rash associated with scarlet fever
• History of recurrent strep throat infections
• Family or close contact with individuals diagnosed with Group A Streptococcal infections

Preparation

• No specific preparation is required for the patient.
• Inform the healthcare provider about any ongoing medications, especially antibiotics.
• Avoid eating or drinking 30 minutes before providing a throat swab sample.

Procedure Description

1. A healthcare professional collects a sample, typically via a throat swab.
2. The sample is then sent to the laboratory.
3. In the lab, nucleic acid amplification tests (NAATs) like PCR (Polymerase Chain Reaction) are used to detect and quantify the DNA or RNA of Group A Streptococcus.
4. The results are analyzed and reported to the physician for interpretation and further action.

Tools and Equipment:

• Throat swabs
• PCR machine or NAAT equipment
• Reagents and chemicals required for nucleic acid extraction and amplification

Anesthesia or sedation: Not required.

Duration

The sample collection takes about 5 minutes. Laboratory analysis might take several hours to a few days, depending on the facility.

Setting

The sample collection is typically done in a doctor’s office, clinic, or hospital. The laboratory analysis is performed in a specialized medical laboratory.

Personnel

• Primary Care Physician or Pediatrician
• Nurse or Medical Assistant for sample collection
• Laboratory Technician or Scientist for sample analysis

Risks and Complications

• Minimal risk associated with throat swab collection (discomfort, gagging)
• Rare risk of a false negative or false positive result, which can be managed by confirmatory testing or clinical correlation

Benefits

• Accurate and rapid diagnosis of Group A Streptococcus infection
• Quantification of bacterial load to aid in treatment decisions
• Helps prevent complications associated with delayed or inappropriate treatment

Recovery

• There is no recovery period required after sample collection.
• Follow any instructions provided by the healthcare provider regarding treatment and follow-up.

Alternatives

• Rapid antigen detection test (RADT) for Group A Streptococcus
  • Pros: Quick results.
  • Cons: Less sensitive than nucleic acid detection methods.
• Throat culture
  • Pros: Highly accurate.
  • Cons: Takes longer to obtain results (24-48 hours).

Patient Experience

During the throat swab collection, the patient may experience mild discomfort or a gagging sensation. No significant pain is involved, and no special comfort measures are typically required. After the procedure, patients can resume normal activities immediately.