Algengi Streptococcus pyogenes og methisillín ónæmra Staphylococcus aureus í hálsi heilbrigðra barna í Garðabæ

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open BACKGROUND: Treating S. pyogenes pharyngitis with antibiotics is recommended after confirming its presence using culture or rapid antigen tests. Limiting unnecessary antibiotics use is important in attem...

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Bibliographic Details
Main Authors: Björg Þuríður Magnúsdóttir, Jón Steinar Jónsson, Karl G Kristinsson
Other Authors: Heilsugaeslunni Efra-Breidholti, Landspítala og HI, Efra-Breidholti. bjorgm@simnet.is
Format: Article in Journal/Newspaper
Language:Icelandic
Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2008
Subjects:
Hálsbólga
Sýkingar
Sýklalyf
Child
Drug Resistance
Bacterial
Microbial Sensitivity Tests
Streptococcal Infections
Streptococcus pyogenes
Pharyngitis
Reykjavík
Smella
Online Access:http://hdl.handle.net/2336/35532
Description
Summary:Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open BACKGROUND: Treating S. pyogenes pharyngitis with antibiotics is recommended after confirming its presence using culture or rapid antigen tests. Limiting unnecessary antibiotics use is important in attempt to avoid rising resistance to drugs such as macrolides. Not all individuals carrying S. pyogenes are infected. OBJECTIVE: To evaluate the carriage rate of S. pyogenes and methicillin resistant S. aureus (MRSA) among healthy children in the Reykjavík capital area. SUBJECTS AND METHODS: Cross-sectional study for the carriage of S. pyogenes and MRSA among healthy children in the town of Gardabaer. The study took place in March and April 2005. Throat cultures were collected from 270 asymptomatic healthy primary school students and cultured selectively for S. pyogenes and MRSA and tested for antimicrobial susceptibilities. RESULTS: Prevalence of S. pyogenes was found to be 22%. The proportion of carriers in 1st to 6th grade was 28%, compared with 11% in 7th to 10th grade students. The highest proportion was in 1st grade, 45%. The proportion S. pyogenes resistant to erythromycin was 17%, to tetracycline 13% and clindamycin 2%. All strains were susceptible to penicillin. No MRSA strains were found. CONCLUSIONS: The study reveals a high S. pyogenes carriage rate in primary school children in Garethabaer. Physicians should consider the prevalence of streptococcal carriage when diagnosing streptococcal pharyngitis in children, and only perform culture and/or antigen tests when clinically indicated. Inngangur: Hálsbólgur skal meðhöndla með sýklalyfjum ef S. pyogenes (hemólýtískir streptókokkar af flokki A) er talin orsök þeirra. Mikilvægt er að staðfesta tilvist S. pyogenes í hálsi til að forðast óþarfa sýklalyfjanotkun en vaxandi ónæmi til dæmis gegn makrólíðum er orðið algengt. Ekki er þó fullvíst að um streptókokkahálsbólgu sé að ræða þó S. pyogenes finnist í hálsi því viðkomandi gæti verið beri og haft veiruhálsbólgu. ...

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