Bacterial or viral angina? Depending on the answer to this question, your treatment will be different. A rapid diagnostic orientation test (TROD) carried out in pharmacies makes it possible to know this and to direct, in the case of bacterial angina, towards antibiotic treatment.

This test, shut down since March 2020 because of the covid health crisis, is back in pharmacies. And good news: from July 1, 2021, it will be reimbursed at 70% by Health Insurance.

To read also: Angina: tracking down its origin to better treat it

Cotton swab in throat

In practice, your pharmacist can offer you a TROD if you suffer from a sore throat for six euros, covered at 70%.

The sample is taken from the throat, using a long cotton swab, and the results appear in five to 10 minutes.

Painkillers or antibiotics

Two outcomes are then possible:

  • The test is negative. This means that it is a viral angina. No need for antibiotics, therefore, which are only effective against bacteria. Using them against a virus is not only unnecessary but also promotes the emergence of bacteria resistant to antibiotics. The pharmacist can advise you on treatments to calm the pain.
  • The test is positive. This means that the angina is caused by a bacterium, group A streptococcus. The pharmacist will refer you to a doctor to prescribe antibiotics.

“Conditional” order after the summer

Because for the moment, doctors cannot send their patients to pharmacists with a “conditional” prescription, which would authorize the delivery of antibiotics in the event of a positive result.

But this option might be possible “after summer“, has already announced Philippe Besset, president of the Federation of Pharmaceutical Unions of France (FSPF).

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