A PEER-REVIEWED JOURNAL OF RESEARCH AND CLINICAL MEDICINEISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
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Near-patient Testing of Streptococcal Tonsillopharyngitis in Children in Inpatient Admissions Unit

For citation: Terentiev V. A., Useinova S. M., Matyazh I. A., Dronov I. А. Near-patient Testing of Streptococcal Tonsillopharyngitis in Children in Inpatient Admissions Unit. Doctor.Ru. 2017; 15(144): 21–25.
26 december 2017

Objective of the Paper: To present the experience of near-patient testing of streptococcal tonsillopharyngitis in infective inpatient admissions unit and to compare the results with scientific literature.

Key Points: Parameters of near-patient testing of acute streptococcal tonsillopharyngitis (ATP) in 53 children of 2 to 14 years old were analysed. In order to identify Group A Beta-Hemolytic Streptococcus (GABHS), Streptatest express test system was used. Positive tests results were obtained in 16 children (30.2%), and the negative result was in 37 (69.8%) cases. The average points as per Centor and McIsaac scores in children with streptococcal ATP made 3.3 ± 0.3, in those with non-streptococcal ATP – 2.8 ± 0.1 (p = 0.036). 3–5 scores which was an indication for antibacterial therapy (ABT) were recorded in 38 patients (71.7%), including 13 children (34.2%) with positive express test results. 3 out of 16 (18.8%) patients with positive express test results had 1–2 points. ABT was prescribed to 43.4% of children, i.e. to all patients with streptococcal ATP (irrespective of Centor and McIsaac scores) and to 7 out of 37 patients with non-streptococcal ATP (18.9%).

Conclusion: Our experience confirms the importance of using GABHS express test because it ensures timely prescription of ABT to patients with streptococcal ATP and reduction in the rate of therapy prescription to patients with non-streptococcal ATP.

V. A. Terentiev — Infective City Hospital, Sevastopol. E-mail: electronsch19@mail.ru

S. M. Useinova — City Hospital No.3 named after Dasha Sevastopolskaya, Sevastopol. E-mail: susana.useinova@mail.ru

I. A. Matyazh — Infective City Hospital, Sevastopol. E-mail: matyash.inga@mail.ru

I. А. Dronov — I. M. Sechenov First Moscow State Medical University Russian Ministry of Health. E-mail: dronow@1msmu.ru

Доктор.ру
26 December 00:00
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