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86th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

13.05. - 16.05.2015, Berlin

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Incidence of streptococcal carriers and evaluation of different ways of treatment

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  • corresponding author Sonil Mone - Spitali Rajonal Vlore, Vlore, Albania
  • Pjerin Radovani - University Hospital Center "Mother Teresa", Tirane, Albania
  • Genc Burazeri - Health Public Institute, Tirane, Albania
  • Albana Zani - Development Institute Center, Vlore, Albania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 86. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Berlin, 13.-16.05.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15hnod039

doi: 10.3205/15hnod039, urn:nbn:de:0183-15hnod0395

Published: March 26, 2015

© 2015 Mone et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License. You are free: to Share - to copy, distribute and transmit the work, provided the original author and source are credited. See license information at http://creativecommons.org/licenses/by-nc-nd/3.0/.

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Introduction: GABHS tonsillopharyngitis is the only form of pharingitis, where antibiotic therapy is definitely indicated, reducing at minimum dangerous complications.

Objective: To evaluate the role of group A βhemolytic streptococcus in acute or chronic tonsillopharyngitis, and to identify the best treatment regimen.

Methods: Several clinic groups of children are chosen for the study,1.Children who are presented to the clinic for routine examinations, with no apparent illness,2.Children with upper respiratory infections symptoms, who have not received any treatment.3.Children treated for GABHS infections with an oral cefuroxime for 10 days,4.Children treated for GABHS infections with 3 days of injectable cefuroxime , continued with 7 days of oral Cefuroxime,5.Children who underwent surgery for Tonsillectomy with or without Adenoidectomy, for chronic GABHS infections, with no symptoms of pharyngitis at the time of examination.The study was conducted for about 2 years, with children consulted in the general policlinic, and in the ENT hospital department. Patients were chosen from 5 to 15 years old.Throat culture in sheep blood agar was chosen as still the best way for identifying GABHS.

Results: GABHS was prevalent in 11% (10/94) children of group I, in 25% (22/86) children of group II, in 47% (33/70) children of group III, in 39% (27/70) children of group IV and 4% (5/120) children of group V. There was a statistically significant difference in the prevalence of GABHS between study groups (Fisher’s exact test: P<0.001).

Conclusions: The prevalence of GABHS was the highest among children with upper respiratory infections symptoms, who did not receive any treatment. Conversely, children who underwent tonsillectomy displayed the lowest prevalence of GABHS.

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