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It is usually transmitted by close contact with the saliva or nasal secretions from an infected individual, typically in the form of airborne respiratory droplets. For this reason, it is frequently seen in situations where individuals are in close proximity to each other, as in schools, college campuses, military barracks, day care centers, and family households. The definitive diagnosis of strep throat can be made with simple laboratory testing. However, some healthcare professionals may choose to make the diagnosis of strep throat clinically without laboratory testing if they feel that a person's signs and symptoms are highly suggestive of this illness. Though certain predictive factors may make strep throat more likely than a viral sore throat, it is important to note that there is not one clinical sign or symptom alone which definitively establishes the diagnosis of strep throat. Helpful predictive factors that make strep throat more likely include:Rapid antigen detection test: A rapid strep test can be done by healthcare professionals by gently swabbing the back of the throat and tonsils. The results are generally available within several minutes in some clinics. If the result is positive for streptococcal bacteria, the diagnosis of strep throat is confirmed. However, a negative test result does not definitively rule out strep throat, as rapid strep tests are not always highly sensitive anywhere between 5% to 30% of rapid strep tests fail to detect streptococcal bacteria when they are in fact present. Throat culture: If the rapid test result is negative, generally a throat culture is sent to the lab for further testing. The throat culture is obtained in the same manner as the rapid strep test.

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