Prevalence of group A streptococcal pharyngitis among schoolchildren of Barabanki district, Uttar Pradesh, India

Singh, Amit Kumar; Kumar, Amresh; Agarwal, Loveleena; Agarwal, Anjali; Sengupta, Chandrim

doi:10.4103/0972-1282.171893

Cited by 4 publications

(5 citation statements)

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“…This rate was higher than that of Singh et al, who showed 4.6% carriers of GABHS in Uttar Pradesh, India. 15 GABHS carrier rate shown by Llyod et al and Muthusamy et al was 8.4% and 5.09% respectively, which is also lower than our study. 16,17 Similarly, GABHS carrier rate was reported to be 12.8% among school aged children in Yemen, 10.8% in Nepal, 12.2% in Ethopia and 12% in Iran.…”

Section: Discussioncontrasting

confidence: 84%

Group a Beta Hemolytic Streptococcal Carriage and Antibiotic Sensitivity Among School Going Children in Mardan, Pakistan

Akram¹,

Khan

et al. 2021

JPMI

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Objective: To assess the carriage rate of Group A beta hemolytic streptococci (Streptococcus Pyogenes/ GABHS) among school children and find out their antibiotic sensitivity. Methodology:This cross-sectional study was carried out on 200 healthy children residing in Mardan, while samples were processed at Department of Pathology, Combined Military Hospital (CMH) Mardan from June 2019 to September 2019. Asymptomatic children with age range from 5 to 15 years were enrolled in this study. After informed consent, throat swabs were taken under aseptic conditions and sent to laboratory for culture and sensitivity. The GABHS were identified by beta-hemolysis, colony morphology, gram staining, catalase reaction and sensitivity to bacitracin. Antibiotic susceptibility of beta hemolytic streptococci were found for Penicillin G, Ceftriaxone, Erthromycin, Co-amoxiclav, Ceftriaxone, Vancomycin, Azithromycin, Tetracycline and Cephalexin by Kirby disc diffusion method. SPSS v.20.0 was used as statistical tool.Results: Out of 200 children, there were 97 (48.5%) male. The mean age was 9.71± 2.95 years. A total of 23 (11.5%) cultures were positive for GABHS. Among these 23 carriers, 10 were males and 13 were females. All were found sensitive to Vancomycin, Penicillin G and Azithromycin. Isolates were 95.6% sensitive to Clindamycin, Ceftriaxone and Co-amoxiclav (n=22). Sensitivity to Cephalexin, Erythromycin and Tetracycline were 78.3% (n=18), 69.5% (n=16) and 65.2% (n=15), respectively. Conclusion:GABHS carriage is common among asymptomatic school going children. GABHS cultured from these children are highly sensitive to Penicillin G, Vancomycin, Azithromycin, Co-amoxiclav, Clindamycin and Ceftriaxone.

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Section: Discussioncontrasting

confidence: 84%

Group a Beta Hemolytic Streptococcal Carriage and Antibiotic Sensitivity Among School Going Children in Mardan, Pakistan

Akram¹,

Khan

et al. 2021

JPMI

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“…Our finding also compares favorably with the 4.6% reported by Singh et al in Northern India. 22 It was however significantly lower than rates (20.9-28.9%) reported from earlier Nigerian studies. 9,18 The difference may be due to improved measures for control of respiratory infections, such as better hand hygiene and increased rates of exclusive breastfeeding in the country over the years.…”

Section: Discussionmentioning

confidence: 59%

“…This increase in non-GAS BHS throat carriage has also been reflected in another African study, as well as studies from other parts of the world. 7,[21][22][23][24][25][26][27][28] Streptococcal throat infections are usually treated with a 10-day course of oral penicillin V or amoxicillin. Erythromycin or azithromycin may be used for penicillin-allergic individuals.…”

Section: Introductionmentioning

confidence: 99%

Streptococcal Throat Carriage among Primary School Children Living in Uyo, Southern Nigeria

Edem

Ikpeme

Akpan

2021

Journal of Child Science

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Surveillance of the carrier state for β-hemolytic streptococcal (BHS) throat infections remains essential for disease control. Recent published works from Sub-Saharan Africa have suggested a changing epidemiology in the burden of BHS throat infections. The objective of the present study was therefore to determine the prevalence and pattern of BHS throat carriage in school-aged children in Uyo, Akwa Ibom State. This was a prospective cross-sectional study of 276 primary school children in Uyo. Subjects were recruited by multistage random sampling. Obtained throat swabs were cultured on 5% sheep blood agar. Lancefield grouping on positive cultures was done by using the Oxoid Streptococcal Grouping Latex Agglutination Kit, United Kingdom. Antimicrobial susceptibility testing was done with the disk diffusion method. Associations were tested with Fischer's exact test. The prevalence of BHS carriage was 3.3%. Group C Streptococcus was identified in 89% of isolates and Group G Streptococcus in 11%. Younger age and larger household size were associated with asymptomatic streptococcal throat infections. Antimicrobial susceptibility was highest with cefuroxime and clindamycin (89% of isolates each), while 78% of isolates were susceptible to penicillin. None of the tested isolates was susceptible to co-trimoxazole. The prevalence of streptococcal throat carriage in the study area was low. There were no Group A Streptococcus isolates suggesting an evolving epidemiology of BHS disease in the study area.

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“…2,14,29 Thus, laboratory diagnosis of GAS pharyngitis is important for early diagnosis and proper treatment of the disease to prevent the development of complications and to prevent inappropriate administration of antibiotics used for nonstreptococcal pharyngitis. 30 Acute pharyngitis is often a self-limiting disease.…”

Section: Discussionmentioning

confidence: 99%

Analysis of knowledge about acute granular pharyngitis among Tiruchirapalli school children and their parents: connotation for preventing further complications

Kanagaraj

Prabhusaran

Syed

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Identification and appropriate treatment for the streptococcal pharyngitis decreases the risk of acute rheumatic fever and rheumatic heart disease. By understanding the public perceptions and behaviors related to sore throat is considered as the fundamental for disseminating the health programs to control such diseases. The main objective of this study is to understand the epidemiology and microbiology of acute granular pharyngitis and its treatment in a tertiary care teaching hospital of South India.Methods: This is a prospective and cross-sectional investigation performed by direct interview and written surveys. In this study, school students and their parents were interviewed about the history of sore throats in the last 12 months and treatment received. A focused history and physical examination to detect pharyngitis was conducted and children were referred for follow-up as indicated. Results: A total of 1550 and 1450 students from 13 and 14 schools participated in the study respectively, along with their parents. Three hundred and thirty six (21.6%) parents reported their child had at least one episode of sore throat in the previous year, and 326 (21%) of students reported at least one sore throat in the same time period.Conclusions: Girls were reported to have high level of pharyngitis than boys. Parents have variable knowledge about the frequency of sore throat in their children and its management. These results provide insight into current perceptions and practices related to sore throat and will be used to design public awareness activities aimed at reducing the future risks.

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Prevalence of group A streptococcal pharyngitis among schoolchildren of Barabanki district, Uttar Pradesh, India

Cited by 4 publications

References 0 publications

Group a Beta Hemolytic Streptococcal Carriage and Antibiotic Sensitivity Among School Going Children in Mardan, Pakistan

Group a Beta Hemolytic Streptococcal Carriage and Antibiotic Sensitivity Among School Going Children in Mardan, Pakistan

Streptococcal Throat Carriage among Primary School Children Living in Uyo, Southern Nigeria

Analysis of knowledge about acute granular pharyngitis among Tiruchirapalli school children and their parents: connotation for preventing further complications

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