Recurrence rate of streptococcal pharyngitis related to hygienic measures.

Objective - To test the hypothesis that treatment failures of streptococcal pharyngotonsillitis may be caused by reinfection by the patients' own streptococci remaining on a toothbrush or in the bedclothes. Design - To elucidate the role of streptococcal contamination of the environment, hygienic me...

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Publicado en:Scandinavian Journal of Primary Health Care Vol. 16; no. 1; pp. 8 - 13
Autores principales: Falck G, Kjellander J, Schwan A
Formato: clinical trial research Journal Article
Publicado: Taylor & Francis Ltd 5/26/98
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 5/26/98
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      pub: Taylor & Francis Ltd
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        atl: Recurrence rate of streptococcal pharyngitis related to hygienic measures.
      aug:
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          Falck G
          Kjellander J
          Schwan A
      sug:
        subj:
          Hygiene
          Patient Education
          Pharyngitis Prevention and Control
          Streptococcal Infections Prevention and Control
          Tonsillitis Prevention and Control
          Adolescence
          Adult
          Bedding and Linens
          Child
          Clinical Trials
          Female
          Male
          Pharyngitis Microbiology
          Recurrence Prevention and Control
          Tonsillitis Microbiology
          Toothbrushing
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Child: 6-12 years
          Female
          Male
      ab: Objective - To test the hypothesis that treatment failures of streptococcal pharyngotonsillitis may be caused by reinfection by the patients' own streptococci remaining on a toothbrush or in the bedclothes. Design - To elucidate the role of streptococcal contamination of the environment, hygienic measures regarding change of toothbrush and bed linen and washing of toys were given to half of the patients/families. Throat specimens were taken from all the patients before treatment with phenoxymethylpenicillin for 5 days, and the patients were followed-up for 1 month. At a home visit after 6-10 days, throat specimens were taken from the patients and all permanent residents of the home. Environmental samples were taken from pillowcases, floors, toothbrushes, dummies, and toys. Setting - Six health care centres. Subjects - 114 patients of all ages suffering from group A streptococcal pharyngotonsillitis, and 289 family members. Measurements and main results - 54 patients/families received hygiene instructions. The total number of recurrences was 40 (35%). There was no difference in treatment failure rate between patients/families that had taken or not taken hygienic measures. Conclusions - Hygienic measures have no decisive influence on the risk of recurrence of streptococcal pharyngotonsillitis.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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