Advisor | Mocumbi, Ana Olga | |
Advisor | Costa, Filipe Aníbal Carvalho | |
Author | Chicavel, Daniel Pedro | |
Access date | 2019-07-23T15:13:03Z | |
Available date | 2019-07-23T15:13:03Z | |
Document date | 2015 | |
Citation | CHICAVEL, Daniel Pedro. Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, cidade de Maputo. 2015. 59 f. Dissertação (Mestrado em Ciências da Saúde)-Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Maputo, 2015. | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/34359 | |
Language | por | pt_BR |
Rights | open access | pt_BR |
Subject in Portuguese | Infecções Estreptocócicas | pt_BR |
Subject in Portuguese | Faringite | pt_BR |
Subject in Portuguese | Streptococcus pyogenes | pt_BR |
Subject in Portuguese | Criança | pt_BR |
Title | Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputo | pt_BR |
Type | Dissertation | pt_BR |
Defense date | 2015 | |
Departament | Pós-Graduação em Ciências da Saúde | pt_BR |
Defense Institution | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz | pt_BR |
Place of Defense | Maputo | pt_BR |
Program | Programa de Pós-Graduação em Ciências da Saúde | pt_BR |
Abstract | Background: Group A streptococcal ß-hemolytic (GAS) is an important cause of morbidity and mortality among children and responsible for 20 – 30% of bacterial pharyngitis. There are few published data on the pattern of GAS epidemiology in Mozambique. Objective: To characterize the epidemiology of GAS infection in patients with signs and symptoms of pharyngitis at a peripheral Health Center in the periphery of Maputo City.
Methods: A cross sectional study was conducted on children aged 5-15 years with clinical features of pharyngitis who attended the Health Centre from July to September 2014. Demographic and clinical data were collected through a standardized questionnaire. Throat swabs were obtained and processed with standard microbiological techniques to
isolate GAS. The data analysis was performed using Epi Info 7 statistical software. Results: Of the 81 children with symptoms of pharyngitis studied 55,6 % were females; 55.6% were between 5 and 9 years old, and 83.9% lived less than 10 km from the Health facility. Most children lived in a household with less than 6 people (55.5%) and only 9,8%
in houses constructed with non conventional materials. Children’s care givers had only primary education (54.3%), no formal occupation (77.7%) and a monthly income below the minimum wage (56.7%). The most common signs and symptoms were sore throat (86.4%), fever (50.6%) and redness of the mucosa palate (16.0%). On physical examination, 30.8% had inflammation of the tonsils and 32.1% of them had palpable and painful cervical lymphadenopathies. Eighty one swab samples were processed; five (6.1%) were positive for GAS, 3 being in children aged between 10-15 years; 3 (60%) female and 3 coming from households with less than 6 people (60%). All the children with positive GAS had odynophagia. Conclusions: Streptococcus pyogenes was detected among patients assisted at the PCHC with symptoms of pharyngitis mainly affecting female and early teenaged children. Children with GAS infection presented sore throats, fever and tonsillar hypertrophy. Considering the high prevalence of rheumatic heart disease in the Mozambican population, it is urgent to define protocols for diagnosis and treatment of bacteria sore throat. Treatment should focus on the use of empirical antibiotic therapy through identification of specific clinical signs and symptoms since laboratory tests are not widely available. | pt_BR |
Abstract | Background: Group A streptococcal ß-hemolytic (GAS) is an important cause of morbidity and mortality among children and responsible for 20 – 30% of bacterial pharyngitis. There are few published data on the pattern of GAS epidemiology in Mozambique. Objective: To characterize the epidemiology of GAS infection in patients with signs and symptoms of pharyngitis at a peripheral Health Center in the periphery of Maputo City.
Methods: A cross sectional study was conducted on children aged 5-15 years with clinical features of pharyngitis who attended the Health Centre from July to September 2014. Demographic and clinical data were collected through a standardized questionnaire. Throat swabs were obtained and processed with standard microbiological techniques to
isolate GAS. The data analysis was performed using Epi Info 7 statistical software. Results: Of the 81 children with symptoms of pharyngitis studied 55,6 % were females; 55.6% were between 5 and 9 years old, and 83.9% lived less than 10 km from the Health facility. Most children lived in a household with less than 6 people (55.5%) and only 9,8%
in houses constructed with non conventional materials. Children’s care givers had only primary education (54.3%), no formal occupation (77.7%) and a monthly income below the minimum wage (56.7%). The most common signs and symptoms were sore throat (86.4%), fever (50.6%) and redness of the mucosa palate (16.0%). On physical examination, 30.8% had inflammation of the tonsils and 32.1% of them had palpable and painful cervical lymphadenopathies. Eighty one swab samples were processed; five (6.1%) were positive for GAS, 3 being in children aged between 10-15 years; 3 (60%) female and 3 coming from households with less than 6 people (60%). All the children with positive GAS had odynophagia. Conclusions: Streptococcus pyogenes was detected among patients assisted at the PCHC with symptoms of pharyngitis mainly affecting female and early teenaged children. Children with GAS infection presented sore throats, fever and tonsillar hypertrophy.
Considering the high prevalence of rheumatic heart disease in the Mozambican population, it is urgent to define protocols for diagnosis and treatment of bacteria sore throat. Treatment should focus on the use of empirical antibiotic therapy through identification of specific clinical signs and symptoms since laboratory tests are not widely available. | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil. | pt_BR |