Prevalence of Streptococcus pyogenes as an oropharynx colonizer in children attending daycare: a comparative study of different regions in Brazil

Vieira, Fernando Mirage Jardim; Figueiredo, Elisabete; Soares, Maria Claudia Mattos; Weckx, Lily Yin; Santos, O. Dos; Magalhães, Gleice; Orlandi, Patrícia Puccinelli; Weckx, Luc Louis Maurice; Pignatari, Shirley Shizue Nagata

doi:10.1016/s1808-8694(15)31013-2

Cited by 10 publications

(15 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The persistently high morbidity–mortality due to RHD in Brazil, with high-cost procedures to treat valvular sequelae, warrant procedures to improve primordial prevention (housing, hygiene), primary prevention prophylaxis (sore-throat treatment), secondary prevention prophylaxis, early diagnosis of asymptomatic rheumatic carditis and tertiary prevention (drugs for HF, valve surgery, anticoagulation) 36. Also, research should examine the factors associated with RHD such as the organism (group A streptococci), genetics and host and environmental factors (socioeconomic status, living conditions, overcrowding, urbanisation, day care,32 nutrition and access to medical services). The World Health Organization has recommended secondary prophylaxis, most effectively delivered within a coordinated programme using a registry of patients60; however, most developing countries still do not have a secondary prophylaxis programme.…”

Section: Discussionmentioning

confidence: 99%

“…This may be explained by the different strains of streptococci infecting a population of different genetic backgrounds and the influence of environmental factors 31. The prevalence of Streptococcus pyogenes may differ among Brazilian regions 32. Epidemiological features of group A Streptococcus from a paediatric population were very different in Belgian in comparison with a Brazilian city, not only in its clinical presentation, but also in its genetic diversity and distribution of emm patterns 33.…”

Section: Valvular Heart Diseasementioning

confidence: 99%

See 1 more Smart Citation

Cardiomyopathy, adult valve disease and heart failure in South America

Bocchi¹,

Guimarães

Tarasoutshi

et al. 2008

Heart

View full text Add to dashboard Cite

Continued assessment of temporal trends in mortality and epidemiology of specific cardiovascular diseases in South America is needed to provide a scientific basis for rational allocation of the limited healthcare resources and introduction of strategies to reduce risk and predict the future burden of cardiovascular disease. The epidemiology of cardiomyopathies, adult valve disease and heart failure (HF) in South America is reviewed here. Diseases of the circulatory system are the main cause of death based on data from about 50% of the South American population. Among the cardiovascular causes of death, cerebrovascular disease is predominant followed by ischaemic heart disease, other heart diseases and hypertensive disease. Of note, cerebrovascular disease is the main cause of death in women, and race also influenced cardiovascular mortality rates. HF is the most important cardiovascular reason for admission to hospital due to cardiovascular disease of ischaemic, idiopathic dilated cardiomyopathic, valvular, hypertensive and chagasic aetiologies. Also, mortality due to HF is high, especially owing to Chagas' disease. HF and aetiologies associated with HF are responsible for 6.3% of deaths. Rheumatic fever is the leading cause of valvular heart disease. The findings have important public health implications because the allocation of healthcare resources, and strategies to reduce the risk of HF should also consider controlling Chagas' disease and rheumatic fever in South American countries.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Valvular Heart Diseasementioning

confidence: 99%

Cardiomyopathy, adult valve disease and heart failure in South America

Bocchi¹,

Guimarães

Tarasoutshi

et al. 2008

Heart

View full text Add to dashboard Cite

show abstract

“…6 13 Rekürran enfeksiyona yol açabilen AGBHS ta-fl›y›c›l›¤›n› önlemeden, bulafl› engellemek kolay de¤ildir. 5,11,15,16 Ülkemizde, görünürde sa¤l›kl› çocuklardaki AGBHS tafl›y›c›l›¤› için farkl› s›kl›klar bildirilmifltir: Tafl…”

unclassified

Asymptomatic carriage of group A beta-hemolytic streptococcus among preschool children in Kartal, Istanbul

Tamer¹

2008

Turk Aile Hek Derg

View full text Add to dashboard Cite

A grubu beta hemolitik streptokok (AGBHS) çocukta akut bakteriyel farenjitin en s›k rastlanan etkenidir ve akut romatizmal atefl, akut glomerülonefrit gibi ciddi komplikasyonlara yol açabilir. Bu çal›flman›n amac› ‹stanbul Kartal Dr. Lütfi K›rdar Kartal E¤itim ve Araflt›rma Hastanesi Aile Hekimli¤i Poliklini¤i'ne baflvuran okul öncesi çocuklarda AGBHS tafl›y›c›l›¤› oran›n› belirlemektir. Yöntem: Ocak-Mart 2008 tarihleri aras›nda aile hekimli¤i polikli-ni¤imize bo¤az a¤r›s› d›fl›ndaki nedenlerle baflvuran üç ila alt› yafl aras› ard›fl›k 150 çocuk hasta randomize flekilde çal›flmaya dâhil edildi. Anamnez ve fizik muayene sonras› bakteri kültürü ve ta-n›mlama için bo¤az sürüntüsü ile antistreptolizin O (ASO) testi için kan örne¤i al›nd›. Bulgular: ‹ncelenen 128 hastan›n 18'inin (%14.06) bo¤az kültürü, AGBHS pozitifti; kültürü pozitif olanlar›n 8'inde ise (%44.44) herhangi bir streptokok enfeksiyonu bulgusu olmaks›z›n ASO yükselmesi saptand›. Sonuç: Daha önceki çal›flmalarda, sa¤l›kl› okul öncesi çocuklarda %2-25.9 oranlar›nda faringeal AGBHS tafl›y›c›l›¤› bulunmufltu, ça-l›flmam›zdaki AGBHS tafl›y›c›l›¤› Türkiye'nin bat› yörelerindeki sonuçlarla uyumludur.

show abstract

“…reported substantially higher rates of S. pyogenes carriage in children attending group child care than in children who did not attend group care (8% vs. 2%, p = 0.02 in one city, 24% vs. 16% in a second city, p = 0.015) (Vieira 2006).…”

Section: Other Bacterial Pathogensmentioning

confidence: 96%

“…Studies conducted in Finland and Brazil reported S. pyogenes carriage rates in children attending group care of 2%, 8%, and 24% (Kontiokari 2005, Vieira 2006). Vieira et.…”

Section: Other Bacterial Pathogensmentioning

confidence: 99%

Staphylococcus aureus in Iowa child care facilities

Moritz¹

View full text Add to dashboard Cite

Staphylococcus aureus (S. aureus) is a ubiquitous bacterium that has the potential to cause severe disease in children and adults. Asymptomatic carriage of S. aureus is an important risk factor for developing infection, as well as a key contributor to transmission. Carriage of respiratory bacteria (mainly Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus influenzae, and Moraxella catarrhalis) has been studied extensively in child care attendees. Prevalence of these pathogens and resistance rates among them vary widely, and the introduction of the pneumococcal vaccine has the potential to alter patterns of carriage in this population. Molecular characterization of bacteria in child care facilities, primarily of S. pneumoniae, has shown that each facility hosts its own bacteriological profile, but can also serve as a community reservoir for epidemic and internationally-recognized clones. Limitations in current research on this topic exist. The majority of data is cross-sectional with no comparison group, and there has been little research published since 2000 on child care employees, bacterial contamination of environmental surfaces, and bacteria causing diarrheal illness. Despite the fact that child care workers are at risk of infections, little research has focused on asymptomatic carriage in this occupational group. We collected samples from 110 employees, 81 children, and 214 surfaces at twelve child care facilities, as well as 111 age-and gender-matched adults not employed at child care centers. After adjusting for age, a household contact with a recent influenza-like illness, and a household contact with exposure to cattle, the odds ratio for S. aureus carriage in child care employees was 0.68 (95% CI 0.31-1.50, p-value 0.34). The odds of MRSA carriage was 3.28 times higher in child care employees than unexposed adults after adjusting for a history of TABLE OF CONTENTS LIST OF TABLES.

show abstract

Prevalence of Streptococcus pyogenes as an oropharynx colonizer in children attending daycare: a comparative study of different regions in Brazil

Abstract: These results show that daycare attendance is a risk factor for oropharyngeal streptococcal colonization; this was seen in different populations, but was statistically significance in only one of the two samples.

Cited by 10 publications

References 8 publications

Cardiomyopathy, adult valve disease and heart failure in South America

Cardiomyopathy, adult valve disease and heart failure in South America

Asymptomatic carriage of group A beta-hemolytic streptococcus among preschool children in Kartal, Istanbul

Staphylococcus aureus in Iowa child care facilities

Contact Info

Product

Resources

About