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Robert F. Perry, MD
The PeeDee Clinic Wilmington, NC

Matthew T. Maher, EdD
East Carolina University Greenville, NC

JAMA. 1997;277(15):1203-1204.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Dr Cockerill and colleagues¹ present interesting and relevant information that underscores an urgent need for the development of a consensus related to the management of the invasive streptococcal carrier state. As the authors point out, there is currently little agreement among physicians regarding the treatment of patients with asymptomatic streptococcal infection. In fact, some experts view this as a benign condition that poses no direct risk to patients or to their contacts and therefore requires no intervention.² As a practical matter, we disagree with this passive posture. The study performed by Cockerill et al and common sense support the notion that eradication of this pathogen in the carrier state seems to serve the best interests of both the child and the community.

During a recent outbreak of group A streptococcal disease, our clinic undertook a study that compared 2 currently accepted treatment options for eradication . . . [Full Text PDF of this Article]

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