A Study of Group A Streptococcal Pharyngitis among School Children (3–15‑Year) of Urban Community
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 11
Abstract
Abstract: Group A Beta Haemolytic Streptococcal (GABHS) is the most important gram positive cocci that is very frequently isolated pathogen in pharyngitis and causing pyogenic infections among school going children and which is linked to the etiopathogenesis of its sequel acute rheumatic fever and rheumatic heart disease that have a worldwide distribution and pose an important health problem. The Present study is intended to find out the prevalence of Group A beta haemolytic streptococci (GABHS) related pharyngitis among children of an urban community, and in case of culture being positive its clinical outcome and its relationship to the clinical symptoms, and the antibiotic sensitivity pattern of GABHS among children aged 3–15 years, presenting with symptoms of sore throat at Dr VRK Teaching HOSPITAL & Research Centre, a teaching tertiary care hospital, at Aziznagar, Telangana. It was a cross sectional, retrospective hospital based study conducted from April 2016 to March 2017, during this one year period a total of 225 children were examined. Throat swabs were collected from children with acute pharyngitis (sore throat and fever) and acute respiratory infection from the paediatric outpatient clinic of the hospital. Demographic and clinical data were recorded. The collected throat swabs were processed as per the standard microbiological techniques to isolate GABHS. The disc diffusion method was used for antimicrobial susceptibility testing. Females were 52.88% and males accounted for 47.12% of 225 children with pharyngitis. The majority of children belonged to 6-10 years age group (54.22 %) GABHS pharyngitis was found more among females and in the age group of 6-10 years. The presenting symptom in most of the cases was pain in the throat with Cough and with the presence of exudates as specific sign in most of the cases of GABHS. The findings showed the prevalence of (26%) of GABHS isolation among the children. All isolates of GABHS were(100%) susceptible to penicillin and Vancomycin and (76.27%) sensitive to Clindamycin and tetracycline, the highest resistance was shown to Amoxicillin. As there is a direct correlation between the incidence of Group A beta-haemolytic streptococci and the symptomatic paediatric patients presenting with sore throat and fever, the current findings underscore the need to increase awareness about appropriate throat examination and treatment of sore throat among primary care physicians and also this study highlights the importance of regular screening and regular surveillance to keep the GABHS in check and to control the development of non-supportive sequel, by treating children judiciously with appropriate antibiotics.
Authors and Affiliations
Rao Sadanand LN, Shanker Venkatesh BM
Keywords
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