The line list revealed nonadherence to IDSA guidelines in
testing and treatment procedures. Ten of 34 (29%) patients
aged ≥3 years who were tested for GAS reported no sore
throat, the symptom that should prompt evaluation for GAS
pharyngitis in patients aged ≥3 years (1). Two of these 10 were
asymptomatic adult contacts of patients with diagnosed GAS
pharyngitis; both asymptomatic contacts had positive RADT
results and were prescribed an antibiotic. Of the 24 tested
patients aged ≥3 years with sore throat, 19 (79%) reported
cough or rhinorrhea, symptoms that suggest a viral rather than
bacterial etiology (1). Although diagnostic testing of patients
aged