Clinical manifestations in patients aged 5-19 with acute streptococcal pharyngotonsillitis, confirmed with rapid antigen detection test
Article Sidebar
Published:
Nov 8, 2022
Keywords:
otorhinolaryngological diseases, streptococcal infections, streptococcus pyogenes, acute pharyngotonsillitis, clinical manifestations, rapid antigen detection test.
Main Article Content
Abstract
Objective: Determine the clinical manifestations of acute Streptococcal Tonsillopharyngitis, confirmed test for rapid detection of antigen in patients aged 5-19 years attending the health Centre 1. Methodology: A descriptive study was conducted. The universe (patients testing positive test for rapid detection of antigen) was studied. The data were obtained directly and analyzed in SPSS version 15.00 system. Results: The 61.2% were women. The mean age was 10.8 years, 43.3% had between 5- 9 years old. The 77.6% came from urban area. The 83.6% had education level between 5 and 15 years. The tonsillar exudate, thermal upside, odinodisfagia and malaise occurred in more than 90%. The anterior cervical lymph nodes, headache, and chills between 50 and 80%. Halitosis, cough, runny nose, petechiae on the palate, pharyngeal exudate, and dysphonia between 30 and 50%, and less than 20% abdominal pain, conjunctivitis, vomiting, scarlatiniform rash and diarrhea. Conclusions: The most representative manifestations of pharyngitis were Odinodisfagia, tonsillar exudate and anterior cervical nodes.
Downloads
Download data is not yet available.
Article Details
How to Cite
Ibadango Ávila, D. G., Gómez Chacón, D. E., Rengel Pinzón, G. R., Martínez Palacios, G. J., & Pizarro Narea, N. E. (2022). Clinical manifestations in patients aged 5-19 with acute streptococcal pharyngotonsillitis, confirmed with rapid antigen detection test. ConcienciaDigital, 5(4.2), 57-68. https://doi.org/10.33262/concienciadigital.v5i4.2.2387
Section
Artículos
References
Al-Najjar, F. Y. A., & Uduman, S. A. (2018). Clinical utility of a new rapid test for the detection of group A Streptococcus and discriminate use of antibiotics for bacterial pharyngitis in an outpatient setting. International Journal of Infectious Diseases, 12(3), 308–311. https://doi.org/10.1016/j.ijid.2007.07.006
Bachiller, M. A., Nazaret Sánchez Sierra, M. A., Ruiz San Pedro, A. M. A., Ana Prado Prieto, M. A., Enríquez, T. M., Guijarro, L. M., & Eiros Bouza, J. M. A. (2020). Impact of the rapid diagnostic test of Streptococcus pyogenes on the consumption of antibiotics in primary care. Pediatría de Atención Primaria, 22(86), 153–159.
Cohen, J. F., Bertille, N., Cohen, R., & Chalumeau, M. (2016). Rapid antigen detection test for group A streptococcus in children with pharyngitis. Cochrane Database of Systematic Reviews, 2016(7). https://doi.org/10.1002/14651858.CD010502.pub2
Ear, T., & Excellence, C. (2018). Evidence Appraisal Report Rapid antigen detection tests for group A streptococcal infections to treat people with a sore throat in the community pharmacy setting 1. Purpose of the evidence appraisal report. September 1–37.
Ehrlich, T. P., Schwartz, R. H., Wientzen, R., & Thorne, M. M. (2018). Comparison of an Immunochromatographic Method for Rapid Identification of Group a Streptococcal Antigen with Culture Method. Archives of Family Medicine, 2(8), 866–869. https://doi.org/10.1001/archfami.2.8.866
Forward, K. R., Haldane, D., Webster, D., Mills, C., Brine, C., & Aylward, D. (2016). A comparison between the Strep a Rapid Test Device and conventional culture for the diagnosis of streptococcal pharyngitis. Canadian Journal of Infectious Diseases and Medical Microbiology, 17(4), 221–223. https://doi.org/10.1155/2006/696018
Kim, H. N., Kim, J., Jang, W. S., Nam, J., & Lim, C. S. (2019). Performance evaluation of three rapid antigen tests for the diagnosis of group A Streptococci. BMJ Open, 9(8), 1–6. https://doi.org/10.1136/bmjopen-2018-025438
Llor, C., Hernández Anadón, S., Gómez Bertomeu, F. F., Santamaria Puig, J. M., Calviño Domínguez, O., & Fernández Pagés, Y. (2018). Validación de una técnica antigénica rápida en el diagnóstico de la faringitis por estreptococo betahemolítico del grupo A. Atención Primaria, 40(10), 489–494. https://doi.org/10.1157/13127228
Mustafa, Z., & Ghaffari, M. (2019). Diagnostic Methods, Clinical Guidelines, and Antibiotic Treatment for Group a Streptococcal Pharyngitis: A Narrative Review. Frontiers in Cellular and Infection Microbiology, 10(October), 1–10. https://doi.org/10.3389/fcimb.2020.563627
Noorbakhsh, S., Tabatabaei, A., Farhadi, M., & Ebrahimi, T. F. (2018). Immunoasssay chromatographic antigen test for rapid diagnosis of group a beta hemolytic streptococcus pharyngitis in children: A cross/ sectional study. Iranian Journal of Microbiology, 3(2), 99–103.
Rao, A., Berg, B., Quezada, T., Fader, R., Walker, K., Tang, S., Cowen, U., Duncan, D., & Sickler, J. (2019). Diagnosis and antibiotic treatment of group a streptococcal pharyngitis in children in a primary care setting: Impact of point-of-care polymerase chain reaction. BMC Pediatrics, 19(1), 1–8. https://doi.org/10.1186/s12887-019-1393-y
Regoli, M., Chiappini, E., Bonsignori, F., Galli, L., & De Martino, M. (2021). Update on the management of acute pharyngitis in children. Italian Journal of Pediatrics, 37(1), 1–7. https://doi.org/10.1186/1824-7288-37-10
Stewart, E. H., Davis, B., Clemans-Taylor, B. L., Littenberg, B., Estrada, C. A., & Centor, R. M. (2018). Rapid Antigen Group a Streptococcus Test to Diagnose Pharyngitis: A Systematic Review and Meta-Analysis. PLoS ONE, 9(11), 1–10. https://doi.org/10.1371/journal.pone.0111727
Turner, P. J., Heneghan, C., Price, C. P., Yang, Y., Van den Bruel, A., & Plüddemann, A. (2017). Point-of-care tests for group A streptococcus. Diagnostic Evidence Co-Operative Oxford. https://www.oxford.dec.nihr.ac.uk/reports-and-resources/horizon-scanning-reports/point-of-care-tests-for-group-a-streptococcus
Bachiller, M. A., Nazaret Sánchez Sierra, M. A., Ruiz San Pedro, A. M. A., Ana Prado Prieto, M. A., Enríquez, T. M., Guijarro, L. M., & Eiros Bouza, J. M. A. (2020). Impact of the rapid diagnostic test of Streptococcus pyogenes on the consumption of antibiotics in primary care. Pediatría de Atención Primaria, 22(86), 153–159.
Cohen, J. F., Bertille, N., Cohen, R., & Chalumeau, M. (2016). Rapid antigen detection test for group A streptococcus in children with pharyngitis. Cochrane Database of Systematic Reviews, 2016(7). https://doi.org/10.1002/14651858.CD010502.pub2
Ear, T., & Excellence, C. (2018). Evidence Appraisal Report Rapid antigen detection tests for group A streptococcal infections to treat people with a sore throat in the community pharmacy setting 1. Purpose of the evidence appraisal report. September 1–37.
Ehrlich, T. P., Schwartz, R. H., Wientzen, R., & Thorne, M. M. (2018). Comparison of an Immunochromatographic Method for Rapid Identification of Group a Streptococcal Antigen with Culture Method. Archives of Family Medicine, 2(8), 866–869. https://doi.org/10.1001/archfami.2.8.866
Forward, K. R., Haldane, D., Webster, D., Mills, C., Brine, C., & Aylward, D. (2016). A comparison between the Strep a Rapid Test Device and conventional culture for the diagnosis of streptococcal pharyngitis. Canadian Journal of Infectious Diseases and Medical Microbiology, 17(4), 221–223. https://doi.org/10.1155/2006/696018
Kim, H. N., Kim, J., Jang, W. S., Nam, J., & Lim, C. S. (2019). Performance evaluation of three rapid antigen tests for the diagnosis of group A Streptococci. BMJ Open, 9(8), 1–6. https://doi.org/10.1136/bmjopen-2018-025438
Llor, C., Hernández Anadón, S., Gómez Bertomeu, F. F., Santamaria Puig, J. M., Calviño Domínguez, O., & Fernández Pagés, Y. (2018). Validación de una técnica antigénica rápida en el diagnóstico de la faringitis por estreptococo betahemolítico del grupo A. Atención Primaria, 40(10), 489–494. https://doi.org/10.1157/13127228
Mustafa, Z., & Ghaffari, M. (2019). Diagnostic Methods, Clinical Guidelines, and Antibiotic Treatment for Group a Streptococcal Pharyngitis: A Narrative Review. Frontiers in Cellular and Infection Microbiology, 10(October), 1–10. https://doi.org/10.3389/fcimb.2020.563627
Noorbakhsh, S., Tabatabaei, A., Farhadi, M., & Ebrahimi, T. F. (2018). Immunoasssay chromatographic antigen test for rapid diagnosis of group a beta hemolytic streptococcus pharyngitis in children: A cross/ sectional study. Iranian Journal of Microbiology, 3(2), 99–103.
Rao, A., Berg, B., Quezada, T., Fader, R., Walker, K., Tang, S., Cowen, U., Duncan, D., & Sickler, J. (2019). Diagnosis and antibiotic treatment of group a streptococcal pharyngitis in children in a primary care setting: Impact of point-of-care polymerase chain reaction. BMC Pediatrics, 19(1), 1–8. https://doi.org/10.1186/s12887-019-1393-y
Regoli, M., Chiappini, E., Bonsignori, F., Galli, L., & De Martino, M. (2021). Update on the management of acute pharyngitis in children. Italian Journal of Pediatrics, 37(1), 1–7. https://doi.org/10.1186/1824-7288-37-10
Stewart, E. H., Davis, B., Clemans-Taylor, B. L., Littenberg, B., Estrada, C. A., & Centor, R. M. (2018). Rapid Antigen Group a Streptococcus Test to Diagnose Pharyngitis: A Systematic Review and Meta-Analysis. PLoS ONE, 9(11), 1–10. https://doi.org/10.1371/journal.pone.0111727
Turner, P. J., Heneghan, C., Price, C. P., Yang, Y., Van den Bruel, A., & Plüddemann, A. (2017). Point-of-care tests for group A streptococcus. Diagnostic Evidence Co-Operative Oxford. https://www.oxford.dec.nihr.ac.uk/reports-and-resources/horizon-scanning-reports/point-of-care-tests-for-group-a-streptococcus