On (b)(6) 2018, the patient presented at the urgent care facility with a sore throat.Upon the initial examination, the customer noted that the patient's throat only appeared a little red and it was not immediately evident the patient had strep a.A test was performed with a clearview strep a exact ii dipstick test using a dual swab technique and a negative result was obtained at the 5 minute read time.The second throat swab was sent to (b)(6) laboratory for culture confirmation.The patient was diagnosed with pharyngitis and sent home.Two hours after test was performed on the clearview strep a exact ii dipstick test, the operator noticed a faint positive line had developed in the test region and forwarded this information to the customer.On (b)(6) 2018, the customer contacted the patient to inform the patient of the positive result and prescribe amoxicillin.At this time, the throat culture results had not been received.On (b)(6) 2018, the customer obtained a positive result from the confirmatory throat culture.The report indicated that there were a few colonies of strep a on the culture.The culture was performed on strep a specific bacitracin disk.The customer proceeded to attempt to contact patient to inform of the positive confirmatory test and ensure the patient had begun the prescribed course of antibiotics.On (b)(6) 2018, the patient returned to the urgent care facility for an unrelated issue and was provided the results of the confirmatory throat culture.The patient subsequently began the prescribed amoxicillin.Troubleshooting was conducted with the customer.The customer was advised results should not be interpreted after the read time and a faint positive line after the read time may indicate the sample concentration is below the level of detection.
|