Elif ÜNVER, Betül SEZGİN, Emin ÖZKAYA, Nedim SAMANCI, Nevin CAMBAZ, Yeşim COŞKUN, Özgül YİĞİT

Akut tonsillofarenjitli çocuklarda grup a beta hemolitik streptokok enfeksiyonu sıklığı

Amaç: Bu çalışmada, akut tonsillofarenjitli çocukların boğaz kültürlerinde Grup A beta hemolitik streptokok (GABHS) sıklığının belirlenmesi ve hastaların başvuru şikayetleri ile klinik bulgularının irdelenmesi amaçlanmıştır. Gereç ve Yöntem: Bu çalışmada akut tonsillofarenjitle başvuran 420 hasta semptom, klinik bulgu ve boğaz kültürü açısından incelendi. Boğaz kültüründe GABHS üreyen ve üremeyen vakalar başvuru sırasındaki klinik bulgular açısından karşılaştırıldı. Çalışmada ateş (koltuk altı 37,50C ve üstü), kusma, burun akıntısı, boğaz ağrısı, baş ağrısı, öksürük, karın ağrısı, iştahsızlık, servikal lenf bezi hassasiyeti semptom ve bulguları kaydedildi. Bulgular: Yaşları 1-14 yıl arasında değişen (ortalama 6,5±3,4 yaş) 420 hastanın 95’inde (%22,62) boğaz kültüründe GABHS üremesi tespit edildi. A grubu beta hemolitik streptokok üreyen vakalarda ateş, boğaz ağrısı, öksürük, karın ağrısı, servikal lenf bezi hassasiyeti bulguları, üreme olmayanlara oranla anlamlı derecede yüksek bulundu. Sonuç: Çalışmamızda yaşları 1-14 yaş arası olan çocukların boğaz kültüründe GABHS üreme oranı %22,62 olarak bulundu. Boğaz ağrısı, ateş, öksürük, karın ağrısı ve servikal lenf bezleri hassasiyeti olan tonsillofarenjit tanısı almış hastalarda GABHS enfeksiyonu öncelikle düşünülmelidir.

Frequency of the group a beta hemolytic streptococcus infection in children presenting with acute tonsillopharyngitis

Aim: The aim of this study was to evaluate the frequency of group A beta hemolytic streptococcus (GABHS) in children with tonsillopharyngitis and to assess their complaints and clinical findings. Materials and Method: A total of 420 children who presented to our outpatient department with acute tonsillopharyngitis were enrolled to the study. The clinical features of patients with positive throat cultures for GABHS were compared to those with negative culture results. Presence of fever (≥37.50C, axilary), vomiting, coryza, sore throat, cough, abdominal pain, tenderness of cervical lymph nodes, and tonsillopharyngitis were recorded. Results: The mean age of the patients was 6.5±3.4 years (range, 1 to 14 years). The positive throat culture rate for GABHS was 22.62% (95 of 420 patients). It was found that fever, sore throat, cough, abdominal pain and tender cervical lymph nodes were significantly more frequent in patients with positive throat culture for GABHS than those with negative result for GABHS. Conclusion: GABHS should be firstly considered in patients presenting with symptoms of fever, sore throat, cough, abdominal pain and tenderness of cervical lymph nodes.

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