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To the Editor:—
Dr. Tubbs' letter reinforces the point I was attempting to make: The average practicing physician without trained technical help and with a minimum of bacteriologic training himself cannot utilize his office to culture beta hemolytic streptococci with any degree of reliability. It is obvious that Dr. Tubbs has a large laboratory with expert technical assistance and sophisticated equipment, and because of this he is probably processing throat cultures with reasonable accuracy. But his office situation is far from typical. My study showed that without such an office-laboratory as Dr. Tubbs has, throat culture results are inaccurate, and reliance upon such results can lead to mistreatment of streptococcal pharyngeal infections.The conditions imposed in the study were not intended to produce failure nor were they "viciously destructive" as Dr. Tubbs states. They were the conditions under which throat cultures were processed by the randomly selected volunteer group of
Mondzac AM. Throat Culture Processing In the Office. JAMA. 1967;201(10):782. doi:10.1001/jama.1967.03130100079030