“…When traditional techniques for the detection of streptococci are used, at least 18 h elapse between the receipt of a specimen and the issuance of a culture report; however, there are some circumstances such as major burns for which the early detection of Streptococcus pyogenes may be important. Various methods for the earlier detection of S. pyogenes and other streptococci have been described, including short incubation of swabs in selective enrichment broths followed by fluorescent-antibody staining (1,9), staphylococcal coagglutination (10,11), latex agglutination (7,9), or counterimmunoelectrophoresis (4) to detect streptococcal antigens in the broth. Methods involving the direct examination of the specimen include the use of fluorescentantibody staining smears (6, 8), the extraction of throat scrapings with nitrous acid and precipitation detection of antigen (5), and the detection of streptococcal antigen in throat gargles with latex agglutination (3).…”