3. Presence of Bacteria in throat culture
A positive throat culture for
group A β-hemolytic streptococci
(Class I; Level of Evidence B).38A
positive throat culture for group
A β-hemolytic streptococci (Class
I; Level of Evidence B)
4. Presence of Carbohydrate antigen in throat
A positive rapid group A
streptococcal carbohydrate
antigen test in a child whose
clinical presentation suggests a
high pretest probability of
streptococcal pharyngitis (Class I;
Level of Evidence B)
5. Presence of antibody in the serum
Increased or rising anti-
streptolysin O titer or other
streptococcal antibodies (anti-
DNASE B) (Class I; Level of
Evidence B). A rise in titer is
better evidence than a single titer
result