Beta Hemolytic Streptococcus Culture (Throat)
Does this test have other names?
Strep test, throat culture, Streptococcal screen
What is this test?
This test looks for the bacteria that cause strep throat. This condition causes a
severe sore throat and makes it painful to swallow. It's important to detect and treat
strep throat as soon as possible because it can progress to more serious illnesses,
such as rheumatic fever.
The bacteria most likely to cause strep throat and bacterial sore throats in general
are called Group A beta-hemolytic Streptococcus pyogenes (GABHS).
This test is a highly reliable way to diagnose strep throat because it has a sensitivity
of 90% to 95%. But it's not used as commonly as the rapid antigen test because results
for the throat culture are usually not available until 24 to 48 hours later.
Why do I need this test?
You may need this test if you have symptoms of strep throat, including:
Sore throat. The soreness can begin suddenly and cause severe pain when you swallow.
Fever. Temperatures in adults are usually 101°F (38.3°C) or higher.
Headache, nausea, and vomiting
Mild neck stiffness
Swollen or enlarged lymph nodes in the neck
Swollen, red tonsils. Sometimes they have streaks of pus or white patches.
Rash or body aches
Small red spots on the roof of your mouth, in the back on the soft or hard palate
You may also have this test if your tonsils are painfully enlarged and your breath
smells very bad.
Strep throat is treated with antibiotics. Starting antibiotics right away eases symptoms
and can reduce the time you are contagious from 1 week to 1 day. Treatment also prevents
rheumatic fever if taken within 10 days after symptoms begin.
What other tests might I have along with this test?
Your healthcare provider may also order these tests:
What do my test results mean?
Many things may affect your lab test results. These include the method each lab uses
to do the test. Even if your test results are different from the normal value, you
may not have a problem. To learn what the results mean for you, talk with your healthcare
Normal results are negative, meaning you don't have strep throat. If your test result
is positive, you almost certainly have strep throat caused by GABHS. If your sore
throat lasts longer than a week, you probably have a different illness.
If your test is positive, you should stay home from work or school until you have
been taking your antibiotics for 24 hours. It is important to do this so the infection
won’t be spread to others. You should start feeling better within 1 to 2 days after
starting the antibiotics.
Be sure to finish the entire prescription even though you are feeling better.
How is this test done?
The test requires a sample from your throat. Your healthcare provider will take the
sample by swabbing both of your tonsils.
Does this test pose any risks?
The swabbing may cause a slight discomfort.
What might affect my test results?
Taking antibiotics can affect your results.
How do I get ready for this test?
You don't need to prepare for this test. But be sure your healthcare provider knows
about all medicines, herbs, vitamins, and supplements you are taking. This includes
medicines that don't need a prescription and any illicit drugs you may use.