To swab or not to swab?

If a child’s clinical history and presentation are consistent with a respiratory viral infection, does proving it and clarifying the specific virus add value?

The answer is almost always “no”, according to the authors of a recent review article in JAMA Pediatrics, as long as the child is otherwise healthy. 

Instead, the diagnosis can and should be made clinically, they argue.

“Frontline clinicians should think critically before automatically requesting a somewhat uncomfortable, expensive respiratory viral test, the result of which