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Streptococcal Pharyngitis : A Prospective Study of Compliance and Complications
المؤلفون المشاركون
Sarrell, E. Michael
Giveon, Shmuel M.
المصدر
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-06-21
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
العلوم الطبية والصيدلة والعلوم الصحية
علم الصيدلة
الملخص EN
Background.
Uncertainty exists concerning the necessity of 10-day antibiotic treatment of group A beta hemolytic streptococcus (GABHS) pharyngitis.
Objective.
To assess the incidence of GABHS recurrence and suppurative and nonsuppurative complications in relation to compliance.
Methods.
(Design).
Prospective cohort observational study.
(Subjects).
2,000 children aged 6 months to 18 years with sore throat and positive GABHS culture.
(Main Outcome Measures).
Recurrence of symptomatic culture positive GABHS pharyngitis, incidence of suppurative, and long-term, regional, nonsuppurative complications of GABHS pharyngitis, over a ten year period.
Results.
213 (11%) of the children received no treatment.
Most children received antibiotics for only 4–6 days (in correlation with the duration of fever, which in most cases lasted up to 3 days).
Three hundred and six (15.3%) children had clinically diagnosed recurrent tonsillopharyngitis; 236 (12.3%) had positive GABHS findings within 10 to 14 days and thirty-four (1.7%) within 21–30 days after the index positive GABHS culture.
The remaining 1.3% had no positive culture despite the clinical findings.
Almost all recurrences [236 (11.6%)] occurred within 14 days and 156 (7.6%) in the fully treated group.
The presence of fever during the first 3 days of the disease was the most significant predictor for recurrence.
Other predictors were the age younger than 6 years and the presence of cervical lymphadenitis.
No increase in the incidence of nonsuppurative or suppurative complications was noted during the 10-year follow-up period, compared to the past incidence of those complications in Israel.
Conclusions.
Our data suggests that the majority of children discontinue antibiotics for GABHS tonsillopharyngitis a day or two after the fever subsides.
The incidence of complications in our study was not affected by this poor compliance.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Sarrell, E. Michael& Giveon, Shmuel M.. 2012. Streptococcal Pharyngitis : A Prospective Study of Compliance and Complications. ISRN Pediatrics،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-498854
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Sarrell, E. Michael& Giveon, Shmuel M.. Streptococcal Pharyngitis : A Prospective Study of Compliance and Complications. ISRN Pediatrics No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-498854
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Sarrell, E. Michael& Giveon, Shmuel M.. Streptococcal Pharyngitis : A Prospective Study of Compliance and Complications. ISRN Pediatrics. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-498854
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-498854
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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