Clinical Practice in Pediatrics

Choosing a treatment strategy for children with acute tonsillopharyngitis according to the results of the express identification of group A beta-hemolytic streptococci

Acute tonsillopharyngitis (ATP) is one of the frequent reasons for prescribing antibiotics in pediatric practice. This is due to the risk of serious complications (such as acute rheumatic fever) in ATP, caused by Group A β-hemolytic Streptococcus (GABHS). However, only in about 20% cases the disease causes GABHS, and most cases of ATP are caused by various viruses. A review of the literature and our clinical observation (90 children aged 1 to 14 years) show the importance of the use of rapid-test for GABHS in ATP, because this method of diagnosis allows us to choose the correct tactics of therapy. In cases of streptococcal etiology of the disease it is necessary to prescribe systemic antibacterial therapy (ABT), whereas in patients with nonstreptococcal ATP, it is advisable to abandon the systemic ABT in favor of topical antimicrobial drug.
Key words: children, acute tonsillopharyngitis, group A beta-hemolytic streptococci, antibacterial therapy, express test.

For citation: Kovalenko E.A., Dronov I.A. Choosing a treatment strategy for children with acute tonsillopharyngitis according to the results of the express identification of group A beta-hemolytic streptococci. Vopr. prakt. pediatr. (Clinical Practice in Pediatrics). 2019; 14(4): 99–105. (In Russian).

DOI: 10.20953/1817-7646-2019-4-99-105

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