Akut Tonsillofarenjitli Çocuklarda Beta Hemolitik Streptokok Varlığını Gösteren Belirti ve Bulguların Değerlendirilmesi

Amaç: Streptokoksik tonsillofarenjitte erken ve uygun antibiyotik tedavisi semptomları azaltıpbulaşıcılık süresinin kısaltılmasında, akut glomerülonefrit ve akut romatizmal ateş gibipoststreptokokkal komplikasyonların önlenmesinde önemlidir. Öykü ve fizik muayene bulgularındanetiyolojiye ışık tutanların belirlenmesi tedavinin erken ve uygun antibiyotikle başlanmasını sağlayabilir.Materyal ve Metot: Bu çalışmada üst solunum yolu enfeksiyonu belirtileri ile başvuran ve klinik olarakakut tonsillofarenjit tanısı alan 300 vaka prospektif olarak değerlendirildi. Hastaların yaş ortalaması67,70 ± 40 ay (14‐168 ay) olup 136’sı (% 45,33) kız; 164’ü (% 54,66) erkekti. Hastalar yaş, akut boğazağrısı, ateş, baş ağrısı, yutma güçlüğü, miyalji, döküntü, karın ağrısı, bulantı, kusma, aile öyküsü, evdekifert sayısı, başvuru öncesi hastalık süresi açısından sorgulandı, fizik muayenedeki tonsil hipertrofisi,kript, servikal lenf bezi hassasiyeti kaydedildi. Tüm hastalardan boğaz kültürü alındı. Bulgular: Boğaz kültürü sonuçlarına göre 60(%20) hastada beta hemolitik streptokok (BHS) izoleedilirken, bunlardan 50(%83,33)’si A grubu olarak gruplandı. BHS izole edilen ve BHS izole edilmeyenvakalar karşılaştırıldığında yaş ortalamaları BHS grubunda 85,81±39, BHS üremeyen grupta 63,13±39ay(p

Evaluation of Symptoms and Findings in Children with Tonsillopharyngitis Reflecting the Presence of Beta Hemolytic Streptococcal Infection

Objectives: The administration of antibiotic is used to be indicated, based on the incidence of nonsuppurative complications (post‐streptococcal glomerulonephritis and acute rheumatic fever) after streptococcal pharyngitis and also suppurative complications. History and physical examination findings distinguishing between GABHS and non‐GABHS pharyngitis is valuable in order to start antibiotics at right time and at right dose. Material and Methods: A prospective study was performed on a cohort of children with acute tonsillopharyngitis (n = 300). The smymptoms at application and signs in physical examination were recorded and analyzed in relation to throat swab culture results at inclusion. Mean age was 67.70 ± 40 months (14‐168 mo), % 45.33 (n=136) were female, the others were male. Age, sore throat, fever, headache, swallowing difficulty, myalgia, skin eruptions, abdominal pain, nausea, vomiting, family history, the number of people in house, the duration of symptoms of disease findings before admission asked and tonsillar hypertrophy, presence of cryptitis and cervical lymph node sensitivity recorded. Throat swab culture had taken from all of the patients.Results: Throat swab culture results were as follows; 20%(n=60) beta hemolytic streptococci (BHS) and 83.33% of them(n=50) were Group A. The mean age of BHS group (85.81± 39 mo) was higher than non BHS group (63.13 ± 39 mo) (p

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