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MICHAEL A. GERBER, MD
Department of Pediatrics University of Connecticut Health Center Farmington, CT 06032

Am J Dis Child. 1988;142(10):1020.

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In Reply.—I agree with Tanz and Shulman that there is a need for an operational definition of the GAS carrier state, and, in fact, I have proposed an operational definition similar to the one they have used.¹ I also agree that it is not necessary to routinely identify carriers, but there are some circumstances in which identification and termination of the carrier state would be desirable.¹ These situations would include the following: families in which there is an inordinate amount of anxiety about GAS; families with a history of rheumatic fever; families in which "ping-pong" spread of GAS has been occurring; outbreaks of GAS pharyngitis in closed or semiclosed communities; and cases in which tonsillectomy is being considered only because of chronic carriage of GAS. . . . [Full Text PDF of this Article]

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