Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: Dr Gonzales and colleagues argue
that they have already provided an explicit rationale for the treatment recommendations
they describe. However, they and others have recommended that prospective
studies should be conducted to compare the strategies outlined in their principles
for the diagnosis of suspected GAS pharyngitis.1,2 Indeed,
our study does provide prospectively collected empirical data to test several
possible strategies to diagnose GAS pharyngitis.
Kellner JD, McIsaac WJ, Low DE. Strategies to Diagnose and Treat Group A Streptococcal Pharyngitis—Reply. JAMA. 2004;292(2):167. doi:10.1001/jama.292.2.167-b