RICHARD A. WRIGHT, M.D.; ELAINE NORMAN SCHOLES, M.D.
To the editor: When the rising cost of health care appears insurmountable, seeing health professionals attempting to implement more cost-effective means of delivering health care is encouraging. In an article by Crawford and colleagues in the March 1979 issue (1) "Streptococcal Pharyngitis: Diagnosis by Gram Stains," a cost-effective method of identifying group A streptococcal pharyngitis was proposed. The authors showed that the most cost-effective approach was when diagnostic methods were targeted to high-risk patients. Indeed, selective screening for streptococcal pharyngitis is supported by this country's low rate of acute rheumatic fever and rare occurrence of epidemic streptococcal disease (2). In
WRIGHT RA, SCHOLES EN. Streptococcal Pharyngitis and Gram Stains. Ann Intern Med. ;91:322–323. doi: 10.7326/0003-4819-91-2-322
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Published: Ann Intern Med. 1979;91(2):322-323.
Infectious Disease, Pulmonary/Critical Care, Streptococcal Infections.
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