STREPTOCOCCAL PHARYNGITIS – AN ACTUAL POINT OF VIEW
Andra Teodor, D Teodor, L Ghibu, CM Luca, E Miftode, M Hurmuzache, CM Dorobat
The infection with Streptococcus pyogenes causes acute illness and also poststreptococcal syndromes of acute glomerulonephritis and acute rheumatic fever.
Material and method: Retrospective study of the cases with acute pharyngitis admitted in the Hospital of Infectious Diseases from Iassy in 2010 with a bacteriological and therapeutically analysis.
Results: It registered 1562 patients. 128 patients were diagnosticated with streptococcal pharyngitis (by throat culture) and 1434 cases had negative throat. 43 cases of streptococcal pharyngitis and 423 cases of the others had severe clinical form. ASLO titer had high value in 35,3% from tests. In 1394 cases, Penicillin G was preferred; 113 patients were treated with Clarithromycine, 20 with Erythromycine and 35 with Clindamycine.
Conclusions: In patients with symptomatology suggestive for the streptococcal pharyngitis, an etiologically diagnosis should be determined by performing a throat culture or a rapid antigen-detection test before the administration of therapy. The empirical antibiotic treatment on the basis of symptoms alone results in overuse of antibiotics, increased costs, and an increased rate of side effects from antibiotics. Penicillin is the preferred treatment.
Tags: group a streptococcus, penicillin, poststreptococcal syndrome, throat culture