Journals / Çocuk Dergisi / 2012 / Cilt: 12 Sayı: 4

Impotance of Non-Group A β-Hemolytic Streptococci in Childhood Tonsillopharyngitis

Çocukluk Çağının Akut Tonsillofarenjitinde A Grubu Olmayan Beta Hemolitik Streptokokların Rolü

Ramazan Gözüküçük(Hisar Intercontinental Hospital, Çocuk Kliniği)
İzlem Göçmen(Hisar Intercontinental Hospital, Çocuk Kliniği)
Mehmet Kılıç(Hisar Intercontinental Hospital, Çocuk Kliniği)
Ece Arslan(Hisar Intercontinental Hospital, Çocuk Kliniği)
Yunus Nas(Hisar Intercontinental Hospital, Çocuk Kliniği)
Birol Saral(Hisar Intercontinental Hospital, Çocuk Kliniği)
Fazlı Yılmazer(Hisar Intercontinental Hospital, Çocuk Kliniği)
Bekir Sami Uyanık(Hisar Intercontinental Hospital, Klinik Laboratuvarlar)
Emin Ünüvar(İ. Ü. İstanbul Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı)
Pages
182–185
Publication Date
2012-10-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The Centor score was ≥3 in 47 % of Group 1; 34 % of Group 2 and 19% of Group 3

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: We aimed to determine the clinical and laboratory features of children with acute tonsillopharyngitis who had positive throat cultures of non group A beta hemolytic streptococcus.Material and Methods: Medical records of the 2679 patients with a diagnosis of acute tonsillopharyngitis in 20102011 years were retrospectively reviewed.
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Key Findings & Data:All of the cases had a throat culture.Results: A bacterial possible agent was isolated in 38.0 % of the cases n:1017 .
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Conclusion & Impact:The Centor score was ≥3 in 47 % of Group 1; 34 % of Group 2 and 19% of Group 3
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Çocuk · infeksiyon · tonsillit

Abstract

Aim: We aimed to determine the clinical and laboratory features of children with acute tonsillopharyngitis who had positive throat cultures of non group A beta hemolytic streptococcus.Material and Methods: Medical records of the 2679 patients with a diagnosis of acute tonsillopharyngitis in 20102011 years were retrospectively reviewed. All of the cases had a throat culture.Results: A bacterial possible agent was isolated in 38.0 % of the cases n:1017 . All cases divided into 3 groups based on the throat culture results. The patients with positive group A beta hemolytic streptococcus cultures constituted Group 1 the mean age 6.59 years; n:729; 27.2 % . The children with non Group A beta hemolytic streptococcus formed Group 2 the mean age 5.04 years; n:288; 10.8 % . The patients with no positive cultures and probably with a viral agent was defined as Group 3 the mean age 5.6 years; n:1662; 62 % . The Centor score was ≥3 in 47 % of Group 1; 34 % of Group 2 and 19% of Group 3

Özet

Amaç: Çocuklarda akut tonsillofarenjit vakalarında boğaz kültüründe A grubu olmayan beta hemolitik streptokok izole edilen vakaların klinik ve laboratuvar özelliklerinin belirlenmesi amaçlandı. Gereç ve Yöntem: Bu klinik retrospektif vaka dosyası değerlendirme araştırması 2010-2011 döneminde akut tonsillofarenjit tanısı alan 2679 vakanın hastane kayıtlarının geriye dönük değerlendirilmesi ile yürütüldü. Vakaların hepsinden boğaz kültürü alınmıştı. Bulgular: Vakaların n:1017 % 38,0’inden boğazdan olası patojen bakteriyel etken izole edilmişti. Boğaz kültüründen grup A streptokok izole edilenler Grup 1‘i yaş ortalaması 6,59 yıl; n:729; % 27,2 , boğaz kültüründen A grubu olmayan beta hemolitik streptokok izole edilenler Grup 2’yi yaş ortalaması 5,04 yıl; n: 288, % 10,8 normal boğaz florası izole edilenler de viral etiyolojisi olanlar Grup 3’ü yaş ortalaması 5,6 yıl; n:1662; % 62 oluşturdu. Centor skorlama sisteminin ≥3 olması Grup 1 vakalarında % 47 iken, Grup 2’de % 34 ve Grup 3’te ise % 19 idi

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Cite This Article

Gözüküçük, R., Göçmen, İ., Kılıç, M., Arslan, E., Nas, Y., Saral, B., Yılmazer, F., Uyanık, B. S., Ünüvar, E. (2012). Impotance of Non-Group A β-Hemolytic Streptococci in Childhood Tonsillopharyngitis. Çocuk Dergisi, Cilt: 12 Sayı: 4, 182–185. https://doi.org/10.5222/j.child.2012.182

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References (11)

  1. American Academy of Pediatrics, Committee on Infectious Diseases. Group A streptococcal infections. In: Pickering LK, ed. Red Book: 2006 Report of the Committee on Infectious
  2. Diseases. 27th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2006:612-13.
  3. Tiemstra J, Miranda RLF. Role of non-group A streptococci in acute pharyngitis. J Am Board Fam Med 2009;22:663-9. http://dx.doi.org/10.3122/jabfm.2009.06.090035 PMid:19897695
  4. JW, de Meller RA. Beta-haemolytic streptococci isolated from acute sore throat patients: case or coincidence? A case control study in gerenral practise. Scand J Infect Dis 2000;32: 84. http://dx.doi.org/10.1080/003655400750044944 PMid:10959645 cocci in the pharynx. Pathogens or innocent bystanders? Am J Dis Child 1989; 143:794-7. PMid:2741849
  5. J. Beta hemolytic non-group A streptococci and pharyngitis: a acse control study. Eur J Pediatr 1991;150:776-9. http://dx.doi.org/10.1007/BF02026709 PMid:1959540 hemolytic streptococci in children. J Pediatr 1976;89:254-6. http://dx.doi.org/10.1016/S0022-3476(76)80459-3 coccal endocarditis. Pediatr Infect Dis 1986;5:703-4. http://dx.doi.org/10.1097/00006454-198611000-00021 PMid:3797302
  6. C and group G streptococci in acute pharyngitis in children. Clin Microbiol Infect 2004;10:37-40. http://dx.doi.org/10.1111/j.1469-0691.2004.00732.x PMid:14706084 office isolation from children and adolescents with pharyngi- tis. Clin Pediatr 1986;25:496-502. http://dx.doi.org/10.1177/000992288602501003
  7. Murren D. Association of group C beta-hemolytic streptococ- ci with endemic pharyngitis among collage students. JAMA;264:2644-7. http://dx.doi.org/10.1001/jama.1990.03450200052030 PMid:2232040
  8. P. The clinical pattern of group C streptococcal pharyngitis in children. J Infect Chemother 2009;15:228-32. http://dx.doi.org/10.1007/s10156-009-0694-8 PMid:19688241 associated with human infection. J Bacteriol 1943;46:391-2. PMid:16560716 PMCid:373833 as common isolates from throat culture among collage stu- dents with pharyngitis. J Am Coll Health 2011;59:237. http://dx.doi.org/10.1080/07448481.2010.519014 PMid:21308581
  9. MRA, Al-Ayed IH, Al-Sanie AM. Non-group A streptococci: are they pathogens in the throat. J R Soc Health 1997;117:160- http://dx.doi.org/10.1177/146642409711700307 PMid:9195830 group A beta hemolytic streptococci in childhood pharyngitis. Sauthern Med J 1988;81:329-31. http://dx.doi.org/10.1097/00007611-198803000-00011
  10. Çıragil P, Gül M, Aral M, Güler İ. Çeşitli örneklerden izole edilen beta-hemolitik streptokokların gruplandırılması ve antibiyotik duyarlılıkları. ANKEM Derg 2003;17:414-7.
  11. Murren D. Association of group C beta-hemolytic streptococ- ci with endemic pharyngitis among collage students. JAMA;264:2644-7. http://dx.doi.org/10.1001/jama.1990.03450200052030 PMid:2232040