Author(s)

Mamadou Moustapha Diop¹, Aissata Barry¹, Emmanuel Camara¹, Mohamed Lamine Diallo², M’mah Aminata Bangoura³, Hasmiou Dia⁴, Saliou Bella Diallo¹, Mamadou Aliou Doukouré¹, Moustapha Kouyaté¹, Narcisse Viani Gateu Tadjom¹, Mamadou Pathé Diallo⁵

¹Pediatrics Department, Donka National Hospital, Conakry, Republic of Guinea.
²Paediatric Medical Emergency, Donka National Hospital, Conakry, Republic of Guinea.
³Institute of Nutrition and Child Health, Conakry, Republic of Guinea.
⁴Paediatrics Department Ignace Deen National Hospital, Conakry, Republic of Guinea.
⁵Medical Centre and Health Counselling, Conakry, Guinea.

Background: Angina is a common paediatric condition. It has certain peculiarities in children, particularly with regard to the frequency of bacterial germs and the use of diagnostic tests. The aim of this study was to determine the place of the rapid diagnostic test in the management of group A beta-hemolytic streptococcal angina in children in the paediatric ward at Donka National Hospital. Methods: This was a prospective descriptive study lasting 6 months from 1st February to 31st July 2019 concerning children aged between 3 and 15 years old who were diagnosed with angina. Epidemiological, clinical, para-clinical and therapeutic variables were studied. Results: Out of 1494 registered children, we collected 116 cases of angina (7.76%). Out of 52 patients who benefited from the rapid diagnostic test, we recorded 13 cases of angina due to group A beta-hemolytic strptococcus. The male sex was the most dominant with 31 cases (59.69%) and a G/F sex ratio of 1.47. The age group most affected was between 3 and 5 years old (50%). The average age of our patients was 4.8 years with extremes of 3 and 14 years. Clinical manifestations were dominated by fever and dysphagia (100%) followed by odynophagia (11.79%). We recorded 13 cases of streptococcal angina (25%). Conclusion: The factors that influence it are multiple, dominated by community life, passive smoking and allergies. The use of RDTs in these young children would help in the diagnosis of acute group A beta hemolytic streptococcal angina and rational antibiotic prescription.

Angina, Frequency, Clinic, Treatment, Pediatrics, Donka

Diop, M. , Barry, A. , Camara, E. , Diallo, M. , Bangoura, M. , Dia, H. , Diallo, S. , Doukouré, M. , Kouyaté, M. , Tadjom, N. and Diallo, M. (2020) Frequency of Group A Beta-Hemolytic Streptococcal Angina in Children in the Department of Pediatrics of Donka National Hospital. Open Journal of Pediatrics, 10, 610-616. doi: 10.4236/ojped.2020.104062.