Çocukluk Çağının Akut Tonsillofarenjitinde A Grubu Olmayan Beta Hemolitik Streptokokların Rolü

Yıl 2012, , 182 - 185, 01.10.2012

Ramazan Gözüküçük İzlem Göçmen Mehmet Kılıç Ece Arslan Yunus Nas Birol Saral Fazlı Yılmazer Bekir Sami Uyanık Emin Ünüvar

https://doi.org/10.5222/j.child.2012.182

Öz

Amaç: Çocuklarda akut tonsillofarenjit vakalarında boğaz kültüründe A grubu olmayan beta hemolitik streptokok izole edilen vakaların klinik ve laboratuvar özelliklerinin belirlenmesi amaçlandı. Gereç ve Yöntem: Bu klinik retrospektif vaka dosyası değerlendirme araştırması 2010-2011 döneminde akut tonsillofarenjit tanısı alan 2679 vakanın hastane kayıtlarının geriye dönük değerlendirilmesi ile yürütüldü. Vakaların hepsinden boğaz kültürü alınmıştı. Bulgular: Vakaların n:1017 % 38,0’inden boğazdan olası patojen bakteriyel etken izole edilmişti. Boğaz kültüründen grup A streptokok izole edilenler Grup 1‘i yaş ortalaması 6,59 yıl; n:729; % 27,2 , boğaz kültüründen A grubu olmayan beta hemolitik streptokok izole edilenler Grup 2’yi yaş ortalaması 5,04 yıl; n: 288, % 10,8 normal boğaz florası izole edilenler de viral etiyolojisi olanlar Grup 3’ü yaş ortalaması 5,6 yıl; n:1662; % 62 oluşturdu. Centor skorlama sisteminin ≥3 olması Grup 1 vakalarında % 47 iken, Grup 2’de % 34 ve Grup 3’te ise % 19 idi

Anahtar Kelimeler

Çocuk, infeksiyon, tonsillit, streptokok

Impotance of Non-Group A β-Hemolytic Streptococci in Childhood Tonsillopharyngitis

Öz

Aim: We aimed to determine the clinical and laboratory features of children with acute tonsillopharyngitis who had positive throat cultures of non group A beta hemolytic streptococcus.Material and Methods: Medical records of the 2679 patients with a diagnosis of acute tonsillopharyngitis in 20102011 years were retrospectively reviewed. All of the cases had a throat culture.Results: A bacterial possible agent was isolated in 38.0 % of the cases n:1017 . All cases divided into 3 groups based on the throat culture results. The patients with positive group A beta hemolytic streptococcus cultures constituted Group 1 the mean age 6.59 years; n:729; 27.2 % . The children with non Group A beta hemolytic streptococcus formed Group 2 the mean age 5.04 years; n:288; 10.8 % . The patients with no positive cultures and probably with a viral agent was defined as Group 3 the mean age 5.6 years; n:1662; 62 % . The Centor score was ≥3 in 47 % of Group 1; 34 % of Group 2 and 19% of Group 3

Anahtar Kelimeler

Child, infection, tonsillitis, streptococcus

Kaynakça

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