ASYMPTOMATIC PHARYNGEAL CARRIAGE OF BETA-HEMOLYTIC STREPTOCOCCI AND STREPTOCOCCAL PHARYNGITIS AMONG PATIENTS AT AN URBAN HOSPITAL IN CROATIA

被引：32

作者：

BEGOVAC, J ^{[1
]}

BOBINAC, E ^{[1
]}

BENIC, B ^{[1
]}

DESNICA, B ^{[1
]}

MARETIC, T ^{[1
]}

BASNEC, A ^{[1
]}

KUZMANOVIC, N ^{[1
]}

机构：

[1] UNIV ZAGREB, UNIV HOSP INFECT DIS DR FRAN MIHALJEVIC, HR-10002 ZAGREB, CROATIA

来源：

EUROPEAN JOURNAL OF EPIDEMIOLOGY | 1993年 / 9卷 / 04期

关键词：

STREPTOCOCCAL; THROAT; CARRIER; PHARYNGITIS;

D O I：

10.1007/BF00157398

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

In a one-year study at the University Hospital of Infectious Diseases in Zagreb, Croatia the rate of asymptomatic throat carriage of beta-haemolytic streptococci was investigated. Throat carriage was investigated in 1796 patients, none of whom had a sore throat nor sips and/or symptoms of a respiratory tract infection. The carrier rate of beta-haemolytic streptococci was 8.3%, for group A streptococci 6% group B 1.3%, group C 0.3% and group F 0.1%. The highest rate was observed in the 6 to 14 year age group: 13.8% for all streptococcal groups, 11.7% for group A alone. The proportion of non-A streptococci was higher in older age groups. Tonsillectomised individuals were less frequently carriers. No sex or season-dependent variations were observed. In a four-month study of 629 patients with pharyngitis the throat cultures yielded: group A streptococci in 44.7%, group B in 1.7%, group C in 0.8%, and group G in 0.6% of the patients. Group A streptococcal rates in carriers compared to rates in patients with pharyngitis suggest that approximately one fourth of the schoolchildren with culture-positive pharyngitis actually are not truly infected, but only carriers currently having a sore throat of non-streptococcal etiology. Antibiotics were administrated to 605 (96.2%) patients with pharyngitis; in 571 (94.4%) of the cases before culture results became available. After culture-negative results were obtained the therapy was discontinued in only 28.5% of the cases. The throat culture is the standard for laboratory testing of group A streptococcal infection and should have more influence on the management of patients with pharyngitis at our hospital.

引用

页码：405 / 410

页数：6

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