Abstract
Amaç:
Bu çalışmada ateş ve üst solunum yolu enfeksiyonu bulguları ile başvuran üç yaş
ve altındaki çocuklarda boğaz kültüründe A grubu b-hemolitik
streptokok (AGBHS) üreme sıklığını ve bu yaş grubunda A grubu b-hemolitik streptokok enfeksiyonu açısından boğaz
kültürü alınmasının önemini saptamayı amaçladık. Yöntem: Çalışmaya 0-3 yaş arası ateş ve üst solunum yolu
enfeksiyonu bulguları ile başvuran 481 çocuk alındı. Muayene bulguları ve boğaz
kültürü sonuçları ile birlikte değerlendirildi. Bulgular: Çalışmaya alınan 481 çocuğun boğaz kültüründe A grubu b-hemolitik streptokok üreme sıklığını %2.2 oranında
saptadık. Yaş gruplarında dağılım incelendiğinde; 12 ay altındaki hastaların
hiçbirinin boğaz kültüründe üreme görülmedi; 13-24 ay arasındaki çocukların 6’sında
(%3.4); 25-36 ay arasındaki çocukların 5’inde (%2.6) üreme saptandı. Sonuç: Düşük oranın üç yaş altındaki
ateş ve üst solunum yolu enfeksiyonu bulguları ile gelen çocukta boğaz kültürü
alınmasının maliyet-etkinlik açısından değerli olmadığı kanısına vardık. Bu
nedenle bu yaş grubunda boğaz kültürü alınmasının uygun bir yaklaşım olmadığı
ancak ateş, nazofarengeal hiperemi ve anterior servikal lenfadonepati (eksuda±
kript) gibi streptokokazis sistemik bulguları olan çocuklarda AGBHS açısından
burun kültürü alınmasının daha uygun bir yaklaşım olduğu kanısındayız.
References
- 1. Davies DH, McGeer A, Schwartz B, et al. and the Ontario group A streptococcal study group. Invasive group A streptococcal infections in Ontario, Canada. N Engl J Med 1996; 335: 517-554.2. Wheeler MC, Roe MH, Kaplan EI, et al. Outbreak of group A streptococcus septicemia in children. Clinical, epi¬demiological, and microbiologic cor¬relates. JAMA 1991; 266: 533-537.3. Kaplan LE, Krugman S. Streptococcal infections group A. In: eds. Krugman S, Katz LS, Gershon AA, Wilfert MC. İnfectious diseases of children. 9th edition St. Louis, Missouri: Mosby; 1992: 483-494. 4. Committee on infectious diseases, American Academy of Pediatrics. In: Peter G ed. Red book report of the committeee on infectious diseases. 24th ed. Group A streptococcal infections, 1997: 483-494.5. Todd J. Streptococcal infections. In: Nelson WE, Behrman RE, Kliegman RM, Arvin AM eds. Nelson Textbook of Pediatrics 15th ed. Philadelphia: WB Saunders; 1996:750-754.6. Miller JM, Holmes TH. Specimen collection, transport and storage. In; Murray RP ed. Manuel of Clinic Mi¬crobiology Washington DC: American Society for Microbiology; 1995:19-32.7. Principi N, Marchisio P, Calanchi A et al. Streptococcal pharyngitis in Italian children: epidemiology and treat¬ment with miocamycin. Drugs Expil Clin Res 1990; 16: 639-647.8. Berkovitch M, Vaida A, Zhovtis D, Yohai BA, Earon Y, Boldur I. Group A streptococcal pharyngotonsillitis in children less than 2 years of age more common than is thought. Clin Pediatr 1999; 38: 361-363.9. Schwartz RH, Hayden GF, Wientzen R. Children less than three-years-old with pharyngitis. Are group A streptococci really that uncommon? Clin Pediatr 1986; 25(4):185-188.10. Woods WA, Carter CT, Schlager TA. Detection of group A streptococci in children under 3 years of age with pharyngitis. Pediatr Emerg Care 1999; 15(5): 338-40.11. Levin RM, Grossman M, Jordan C et al. Group A streptococcal infection in children younger than three years of age. Pediatr Infect Dis J. 1988; 7:581-587.
- 12. Amir J, Shechter Y, Eilam N, Varsano I. Group A beta-hemolytic streptococcal pharyngitis in children younger than 5 years. Isr J Med Sci 1994; 30(8): 619-622.
Abstract
References
- 1. Davies DH, McGeer A, Schwartz B, et al. and the Ontario group A streptococcal study group. Invasive group A streptococcal infections in Ontario, Canada. N Engl J Med 1996; 335: 517-554.2. Wheeler MC, Roe MH, Kaplan EI, et al. Outbreak of group A streptococcus septicemia in children. Clinical, epi¬demiological, and microbiologic cor¬relates. JAMA 1991; 266: 533-537.3. Kaplan LE, Krugman S. Streptococcal infections group A. In: eds. Krugman S, Katz LS, Gershon AA, Wilfert MC. İnfectious diseases of children. 9th edition St. Louis, Missouri: Mosby; 1992: 483-494. 4. Committee on infectious diseases, American Academy of Pediatrics. In: Peter G ed. Red book report of the committeee on infectious diseases. 24th ed. Group A streptococcal infections, 1997: 483-494.5. Todd J. Streptococcal infections. In: Nelson WE, Behrman RE, Kliegman RM, Arvin AM eds. Nelson Textbook of Pediatrics 15th ed. Philadelphia: WB Saunders; 1996:750-754.6. Miller JM, Holmes TH. Specimen collection, transport and storage. In; Murray RP ed. Manuel of Clinic Mi¬crobiology Washington DC: American Society for Microbiology; 1995:19-32.7. Principi N, Marchisio P, Calanchi A et al. Streptococcal pharyngitis in Italian children: epidemiology and treat¬ment with miocamycin. Drugs Expil Clin Res 1990; 16: 639-647.8. Berkovitch M, Vaida A, Zhovtis D, Yohai BA, Earon Y, Boldur I. Group A streptococcal pharyngotonsillitis in children less than 2 years of age more common than is thought. Clin Pediatr 1999; 38: 361-363.9. Schwartz RH, Hayden GF, Wientzen R. Children less than three-years-old with pharyngitis. Are group A streptococci really that uncommon? Clin Pediatr 1986; 25(4):185-188.10. Woods WA, Carter CT, Schlager TA. Detection of group A streptococci in children under 3 years of age with pharyngitis. Pediatr Emerg Care 1999; 15(5): 338-40.11. Levin RM, Grossman M, Jordan C et al. Group A streptococcal infection in children younger than three years of age. Pediatr Infect Dis J. 1988; 7:581-587.
- 12. Amir J, Shechter Y, Eilam N, Varsano I. Group A beta-hemolytic streptococcal pharyngitis in children younger than 5 years. Isr J Med Sci 1994; 30(8): 619-622.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | December 25, 2018 |
| Submission Date | September 7, 2018 |
| Acceptance Date | October 18, 2018 |
| Published in Issue | Year 2018 Volume: 11 Issue: 3 |
Cite
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Çocuklarda A Grubu Β-Hemolitik Streptokok Tespitinde Hızlı Antijen Testi.
Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi
https://doi.org/10.17517/ksutfd.1231824
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