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In pediatrics, when we test for strep in an office or hospital we actually run two different testsâ a rapid strep test (which is the test described above) and a culture test. For the culture test, the specimen swab is rubbed on a petri dish of agar (bacteria food) and put in an incubator to grow. If group A streptococcal bacteria grow on the agar, we say the culture is positive. The culture test is the most accurate test for strep throat.
1 If the rapid strep test result is negative but strep throat is still suspected, your doctor may order a throat culture to verify the results. 2  If the rapid strep test result is positive, a throat culture isn't needed.3  Antibiotic treatment can be started right away.our doctor may confirm the results of the rapid strep test with a throat culture. Current treatment guidelines recommend that your doctor confirm strep throat with a lab test, such as a throat culture, and not diagnose strep throat just from your symptoms.