TITLE:
Frequency of Group A Beta-Hemolytic Streptococcal Angina in Children in the Department of Pediatrics of Donka National Hospital
AUTHORS:
Mamadou Moustapha Diop, Aissata Barry, Emmanuel Camara, Mohamed Lamine Diallo, M’mah Aminata Bangoura, Hasmiou Dia, Saliou Bella Diallo, Mamadou Aliou Doukouré, Moustapha Kouyaté, Narcisse Viani Gateu Tadjom, Mamadou Pathé Diallo
KEYWORDS:
Angina, Frequency, Clinic, Treatment, Pediatrics, Donka
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.10 No.4,
November
20,
2020
ABSTRACT: 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.