Presence of microorganisms in children with pharyngotonsillitis and healthy controls: a prospective study in primary healthcare.
Purpose: Most studies on paediatric pharyngotonsillitis focus on group A streptococci. This study, however, analyses a broad spectrum of bacteria and viruses related to paediatric pharyngotonsillitis and evaluates their associated clinical symptoms and courses. Methods: This observational prospectiv...
| Publicado en: | Infection Vol. 49; no. 4; pp. 715 - 725 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151628566&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151628566 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03008126 NXO jtl: Infection issn: 03008126 maglogo: N pubinfo: dt: Aug2021 vid: 49 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 151628566 149119413 151628566 151628566 10.1007/s15010-021-01595-9 151628566 ppf: 715 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Presence of microorganisms in children with pharyngotonsillitis and healthy controls: a prospective study in primary healthcare. aug: au: Pallon, Jon Sundqvist, Martin Rööst, Mattias Danielsson, Patrik Neumark, Thomas Skovbjerg, Susann Svedin, Jonas Hedin, Katarina affil: Department of Clinical Sciences in Malmö, Family Medicine, Lund University, Malmö, Sweden sug: subj: Tonsillitis Microbiology Pharyngitis Microbiology Primary Health Care Human Child Prospective Studies Nonexperimental Studies Diaries Record Review Polymerase Chain Reaction Streptococcus Child: 6-12 years ab: Purpose: Most studies on paediatric pharyngotonsillitis focus on group A streptococci. This study, however, analyses a broad spectrum of bacteria and viruses related to paediatric pharyngotonsillitis and evaluates their associated clinical symptoms and courses. Methods: This observational prospective study in primary healthcare includes 77 children aged < 15 with a sore throat and 34 asymptomatic children, all of whom were sampled from the tonsils with an E-swab® for analysis with culture and PCR for 14 bacteria and 15 viruses. Patients were evaluated clinically, and their symptoms recorded in diaries for 10 days. Participants were followed up for 3 months by reviewing medical records. Results: A pathogen was detected in 86% of patients and in 71% of controls (P = 0.06). Bacteria were found in 69% of patients and 59% of controls (P = 0.3), and viruses in 36% and 26%, respectively (P = 0.3). Group A streptococci was the most common finding, with a prevalence of 49% and 32%, respectively (P = 0.1). Clinical signs were not useful for distinguishing pathogens. None of the controls and 16% of the patients reconsulted for a sore throat within 3 months. Conclusion: Bacteria were more common than viruses in both study groups. The high rate of pathogens in asymptomatic children interferes with diagnoses based on aetiology. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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