Detection of Streptococcus pyogenes from Throat Swab in Acute Pharyngitis Patients
Abstract
Background: Pharyngitis is an inflammation of throat that may be caused by viral and bacteria. Although Streptococcus pyogenes is only responsible for 5−15% of cases of pharyngitis in adults. Antibiotics are highly prescribed for this infection, thus it could lead to antibiotic resistance. The main reason for antibiotic overprescription is the difficulty to obtain a rapid and correct etiological diagnosis. This study aimed to determine the frequency of Streptococcus pyogenes from throat swab in patient with acute pharyngitis in Padjadjaran Clinic.
Methods: This study was a descriptive study. Specimen was taken from the patients in Padjadjaran Clinic on September until October 2014. Thirty-five patients with acute pharyngitis that met the selection criteria were recruited for throat swab. Then, specimens obtained were performed an identification testing to determine whether there was a colonization of Streptococcus pyogenes.
Results: Thirty five patients were found with acute pharyngitis consist of 14 male and 21 female, with age ranged between 16−34 years old. From the identification testing result, Streptococcus pyogenes was not found from throat swabs of patient with acute pharyngitis in Padjadjaran Clinic.
Conclusions: This study found no colonization of Steptococcus pyogenes in throat swabs of acute pharyngitis patients in Padjadjaran Clinic, however Streptococcus pyogenes was not the causative fact of acute pharyngitis. [AMJ.2016;3(1):69–72]
DOI: 10.15850/amj.v3n1.716
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Carapetis JR. The current evidence for the burden of group a streptococcal diseases. Geneva: World Health Organization. 2004:1−57.
Madurell J, Balagué M, Gómez M, Cots JM, Llor C. Impact of rapid antigen detection testing on antibiotic prescription in acute pharyngitis in adults. Faringocat study: a multicentric randomized controlled trial. BMC Fam Pract. 2010;11(1):1−5.
Shehadeh M, Suaifan G, Darwish RM, Wazaify M, Zaru L, Alja’fari S. Knowledge, attitudes and behavior regarding antibiotics use and misuse among adults in the community of Jordan a pilot study. Saudi Pharm J. 2012;20(2):125−33.
Anis K, Ariyani K, Ikaningsih I, Retno K. Emerging resistance pathogen: recent situation in Asia, Europe, USA, Middle East, and Indonesia. Maj Kedok Indones. 2011;57(03):75−9.
Choby BA. Diagnosis and treatment of streptococcal pharyngitis. Am Fam Physician. 2009;79(5):383−90.
Palla AH, Khan RA, Gilani AH, Marra F. Over prescription of antibiotics for adult pharyngitis is prevalent in developing countries but can be reduced using McIsaac modification of Centor scores: a cross-sectional study. BMC Pulm Med. 2012;12(1):1−7.
Hsieh TH, Chen PY, Huang FL, Wang JD, Wang LC, Lin HK, et al. Are empiric antibiotics for acute exudative tonsillitis needed in children? J Microbiol Immunol Infect. 2011;44(5):328−32.
Bope E. Conn's current therapy. Philadelphia: Saunders Elsevier; 2013. p. 40−3.
Wessels MR. Streptococcal pharyngitis. N Engl J Med. 2011;364(7):648−55.
Roggen I, van Berlaer G, Gordts F, Pierard D, Hubloue I. Centor criteria in children in a paediatric emergency department: for what it is worth. BMJ Open. 2013;3(4):1−4.
Brooks GF, Butel JS, Morse SA. Jawetz, Melnick & Adelberg's medical microbiology. 24th ed. New York: The McGraw-Hill Companies, Inc.; 2007.
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