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Date Published: 20/04/2023
Abstract Views: 463
Views PDF: 183
DOI: https://doi.org/10.51298/vmj.v525i1B.5077
Issue
Vol. 525 No. 1B (2023)
Section
Các bài báo
How to Cite
Nguyễn, T. K. V. ., & Đỗ , H. Q. C. . (2023). OVERVIEW OF CLINICAL CHARACTERISTICS OF GROUP A STREPTOCOCCAL PHARYNGITIS. Vietnam Medical Journal, 525(1B). https://doi.org/10.51298/vmj.v525i1B.5077

OVERVIEW OF CLINICAL CHARACTERISTICS OF GROUP A STREPTOCOCCAL PHARYNGITIS

Thị Khánh Vân Nguyễn1,, Hoàng Quốc Chinh Đỗ 2
1 National Otorhinorarynology Hospital of Vietnam
2 Hanoi medical university

Main Article Content

Abstract

Objectives: Analysis of clinical characteristics of group A streptococcal pharyngitis. Study Design: Scoping review. Methods: We searched the database on PubMed, Medline, the electronic library of Hanoi Medical University from 2010 to 2022 related to clinical characteristics of group A streptococcal pharyngitis. Results: 40 studies were included in this review. The rate of group A streptococcal infection was highest in the 3-14 year-old group and quite low in the <3 year-old one. Symptoms in the Centor score system: tonsillitis/throat exudates, fever >380C, anterior cervical adenopathy and no cough have an average sensitivity of 60-80%. 70-85% of group A streptococcal infections in 88.9% of the studies presented lack of cough symptom. Conclusions: Clinical characteristics of group A streptococcal pharyngitis: most common in children aged 3-15 years; typical clinical symptoms are those on the Centor scale including tonsillitis/throat exudates, fever >380C, anterior cervical adenopathy and no cough.

Article Details

Keywords

“pharyngitis”, “sore throat”, “tonsillitis”, “pharyngotonsillitis”, “Streptococcus pyogenes”, “Group A-haemolytic Streptococcus pyogenes”, “streptococcal pharyngitis”

References

1. Shulman ST, Bisno AL, Clegg HW, et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis: 2012 update by the Infectious Diseases Society of America. Clin Infect Dis Off Publ Infect Dis Soc Am. 2012;55(10):e86-102.
2. Shaikh N, Swaminathan N, Hooper EG. Accuracy and precision of the signs and symptoms of streptococcal pharyngitis in children: a systematic review. J Pediatr. 2012;160(3):487-493.e3.
3. Aw R, Cl W, Hs H, et al. The utility of rapid antigen detection testing for the diagnosis of streptococcal pharyngitis in low-resource settings. Int J Infect Dis IJID Off Publ Int Soc Infect Dis. 2010;14(12).
4. Fine AM, Nizet V, Mandl KD. Large-scale validation of the Centor and McIsaac scores to predict group A streptococcal pharyngitis. Arch Intern Med. 2012;172(11):847-852.
5. Kose E, Sirin Kose S, Akca D, et al. The Effect of Rapid Antigen Detection Test on Antibiotic Prescription Decision of Clinicians and Reducing Antibiotic Costs in Children with Acute Pharyngitis. J Trop Pediatr. 2016;62(4):308-315.
6. Aalbers J, O’Brien KK, Chan WS, et al. Predicting streptococcal pharyngitis in adults in primary care: a systematic review of the diagnostic accuracy of symptoms and signs and validation of the Centor score. BMC Med. 2011;9:67.