Rapid strep test
A streptococcal screen is a test to detect group A streptococcus. This type of bacteria is the most common cause of strep throat.
The test requires a throat swab. The swab is tested to identify group A streptococcus. It takes about 7 minutes to get the results.
There is no special preparation. Tell your health care provider if you are taking antibiotics or have recently taken them.
The back of your throat will be swabbed in the area of your tonsils. This may make you gag.
Your provider may recommend this test if you have signs of strep throat, which include:
A negative strep screen most often means group A streptococcus is not present. It is unlikely that you have strep throat.
If your provider still thinks that you may have strep throat, a throat culture will be done in children and adolescents.
A positive strep screen most often means group A streptococcus is present and confirms that you have strep throat.
Sometimes, the test may be positive even if you do not have strep. This is called a false-positive result.
There are no risks.
This test screens for the group A streptococcus bacteria only. It will not detect other causes of sore throat.
Allen CT, Nussenbaum B, Merati AL. Acute and chronic laryngopharyngitis. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 61.
Bryant AE, Stevens DL. Streptococcus pyogenes. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 197.
Gigante J. Acute pharyngitis. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 430.
Stevens DL, Bryant AE, Hagman MM. Nonpneumococcal streptococcal infections and rheumatic fever. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 269.
BACK TO TOPReview Date: 3/16/2024
Reviewed By: Jatin M. Vyas, MD, PhD, Associate Professor in Medicine, Harvard Medical School; Associate in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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06/01/2025
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