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Duration of severe and moderate symptoms in pharyngitis by cause.
Moragas, Ana; Sarvisé, Carolina; Gómez, Frederic; Picó-Plana, Ester; Crispi, Silvia; Llor, Carl.
Afiliación
  • Moragas A; Department of Medicine and Surgery, Universitat Rovira i Virgili, Tarragona, Spain; University Institute in Primary Care Research Jordi Gol, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain; Jaume I Heal
  • Sarvisé C; Microbiology/Clinical Analysis Laboratori Clínic ICS Camp de Tarragona, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain; Pere Virgili Health Research Institute (IISPV), Tarragona, Spain.
  • Gómez F; Department of Medicine and Surgery, Universitat Rovira i Virgili, Tarragona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain; Microbiology/Clinical Analysis Laboratori Clínic ICS Camp de Tarragona, Hospital Univer
  • Picó-Plana E; Microbiology/Clinical Analysis Laboratori Clínic ICS Camp de Tarragona, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain; Pere Virgili Health Research Institute (IISPV), Tarragona, Spain.
  • Crispi S; Jaume I Health Centre, Catalan Institute of Health, Tarragona, Spain.
  • Llor C; University Institute in Primary Care Research Jordi Gol, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain; Via Roma Health Centre, Catalan Institute of Health, Barcelona, Spain; Department of Public Heal
Aten Primaria ; 56(11): 102994, 2024 Jun 13.
Article en En | MEDLINE | ID: mdl-38875835
ABSTRACT

OBJECTIVE:

This study aimed to assess the cause of acute pharyngitis and determine the duration of severe and moderate symptoms based on the aetiology.

DESIGN:

Prospective observational study. SITE One urban health care centre.

PARTICIPANTS:

Patients aged 15 or older with acute pharyngitis were included.

INTERVENTIONS:

Bacterial identification was carried out in the microbiology lab using MALDI-TOF in two throat samples. Patients received a symptom diary to return after one week. MAIN MEASUREMENTS Number of days with severe symptoms, scoring 5 or more in any of the symptoms included in the symptom diary, and moderate symptoms, scoring 3 or more.

RESULTS:

Among the 149 patients recruited, beta-haemolytic streptococcus group A (GABHS) was the most common aetiology. Symptoms and signs alone as well as the mean Centor score cannot distinguish between GABHS and other bacterial causes in patients with acute pharyngitis. However, there was a trend indicating that infections caused by Streptococcus dysgalactiae and Streptococcus agalactiae presented more severe symptoms, whereas infections attributed to the Streptococcus anginosus group, Fusobacterium spp., and those where oropharyngeal microbiota was isolated tended to have milder symptoms. S. dysgalactiae infections showed a trend towards longer severe and moderate symptom duration.

CONCLUSION:

GABHS was the most prevalent, but group C streptococcus caused more severe and prolonged symptoms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Aten Primaria Año: 2024 Tipo del documento: Article Pais de publicación: España
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Aten Primaria Año: 2024 Tipo del documento: Article Pais de publicación: España