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
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
Publishing in three issues per year (April - August - December), it is a multisectoral refereed scientific journal. In addition to research articles, scientific articles such as reviews, case reports and letters to the editor are published in the journal. Our journal, which has been published via e-mail since its inception, has been published both online and in print. Following the Participation Agreement signed with TÜBİTAK-ULAKBİM Dergi Park in April 2015, it has started to accept and evaluate online publications.
Mersin University Journal of Health Sciences have been indexed by Turkey Citation Index since November 16, 2011.
Mersin University Journal of Health Sciences have been indexed by ULAKBIM Medical Database from the first issue of 2016.
Mersin University Journal of Health Sciences have been indexed by DOAJ since October 02, 2019.
Article Publishing Charge Policy: Our journal has adopted an open access policy and there is no fee for article application, evaluation, and publication in our journal. All the articles published in our journal can be accessed from the Archive free of charge.
This work is licensed with Attribution-NonCommercial 4.0 International.