Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputo

Bibliographic Details
Main Author: Chicavel, Daniel Pedro
Publication Date: 2015
Format: Master thesis
Language: por
Source: Repositório Institucional da FIOCRUZ (ARCA)
Download full: https://arca.fiocruz.br/handle/icict/34359
Summary: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
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spelling Chicavel, Daniel PedroMocumbi, Ana OlgaCosta, Filipe Aníbal Carvalho2019-07-23T15:13:03Z2019-07-23T15:13:03Z2015CHICAVEL, Daniel Pedro. Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, cidade de Maputo. 2015. 59 f. Dissertação (Mestrado em Ciências da Saúde)-Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Maputo, 2015.https://arca.fiocruz.br/handle/icict/34359porInfecções EstreptocócicasFaringiteStreptococcus pyogenesCriançaInfecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis2015Pós-Graduação em Ciências da SaúdeFundação Oswaldo Cruz. Instituto Oswaldo CruzMaputo/MZPrograma de Pós-Graduação em Ciências da SaúdeFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.Background: Group A streptococcal ß-hemolytic (GAS) is an important cause of morbidity and mortality among children and responsible for 20 – 30% of bacterial pharyngitis. There are few published data on the pattern of GAS epidemiology in Mozambique. Objective: To characterize the epidemiology of GAS infection in patients with signs and symptoms of pharyngitis at a peripheral Health Center in the periphery of Maputo City. Methods: A cross sectional study was conducted on children aged 5-15 years with clinical features of pharyngitis who attended the Health Centre from July to September 2014. Demographic and clinical data were collected through a standardized questionnaire. Throat swabs were obtained and processed with standard microbiological techniques to isolate GAS. The data analysis was performed using Epi Info 7 statistical software. Results: Of the 81 children with symptoms of pharyngitis studied 55,6 % were females; 55.6% were between 5 and 9 years old, and 83.9% lived less than 10 km from the Health facility. Most children lived in a household with less than 6 people (55.5%) and only 9,8% in houses constructed with non conventional materials. Children's care givers had only primary education (54.3%), no formal occupation (77.7%) and a monthly income below the minimum wage (56.7%). The most common signs and symptoms were sore throat (86.4%), fever (50.6%) and redness of the mucosa palate (16.0%). On physical examination, 30.8% had inflammation of the tonsils and 32.1% of them had palpable and painful cervical lymphadenopathies. Eighty one swab samples were processed; five (6.1%) were positive for GAS, 3 being in children aged between 10-15 years; 3 (60%) female and 3 coming from households with less than 6 people (60%). All the children with positive GAS had odynophagia. Conclusions: Streptococcus pyogenes was detected among patients assisted at the PCHC with symptoms of pharyngitis mainly affecting female and early teenaged children. Children with GAS infection presented sore throats, fever and tonsillar hypertrophy. Considering the high prevalence of rheumatic heart disease in the Mozambican population, it is urgent to define protocols for diagnosis and treatment of bacteria sore throat. Treatment should focus on the use of empirical antibiotic therapy through identification of specific clinical signs and symptoms since laboratory tests are not widely available.Background: Group A streptococcal ß-hemolytic (GAS) is an important cause of morbidity and mortality among children and responsible for 20 – 30% of bacterial pharyngitis. There are few published data on the pattern of GAS epidemiology in Mozambique. Objective: To characterize the epidemiology of GAS infection in patients with signs and symptoms of pharyngitis at a peripheral Health Center in the periphery of Maputo City. Methods: A cross sectional study was conducted on children aged 5-15 years with clinical features of pharyngitis who attended the Health Centre from July to September 2014. Demographic and clinical data were collected through a standardized questionnaire. Throat swabs were obtained and processed with standard microbiological techniques to isolate GAS. The data analysis was performed using Epi Info 7 statistical software. Results: Of the 81 children with symptoms of pharyngitis studied 55,6 % were females; 55.6% were between 5 and 9 years old, and 83.9% lived less than 10 km from the Health facility. Most children lived in a household with less than 6 people (55.5%) and only 9,8% in houses constructed with non conventional materials. Children's care givers had only primary education (54.3%), no formal occupation (77.7%) and a monthly income below the minimum wage (56.7%). The most common signs and symptoms were sore throat (86.4%), fever (50.6%) and redness of the mucosa palate (16.0%). On physical examination, 30.8% had inflammation of the tonsils and 32.1% of them had palpable and painful cervical lymphadenopathies. Eighty one swab samples were processed; five (6.1%) were positive for GAS, 3 being in children aged between 10-15 years; 3 (60%) female and 3 coming from households with less than 6 people (60%). All the children with positive GAS had odynophagia. Conclusions: Streptococcus pyogenes was detected among patients assisted at the PCHC with symptoms of pharyngitis mainly affecting female and early teenaged children. Children with GAS infection presented sore throats, fever and tonsillar hypertrophy. Considering the high prevalence of rheumatic heart disease in the Mozambican population, it is urgent to define protocols for diagnosis and treatment of bacteria sore throat. 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dc.title.none.fl_str_mv Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputo
title Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputo
spellingShingle Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputo
Chicavel, Daniel Pedro
Infecções Estreptocócicas
Faringite
Streptococcus pyogenes
Criança
title_short Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputo
title_full Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputo
title_fullStr Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputo
title_full_unstemmed Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputo
title_sort Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, Cidade de Maputo
author Chicavel, Daniel Pedro
author_facet Chicavel, Daniel Pedro
author_role author
dc.contributor.author.fl_str_mv Chicavel, Daniel Pedro
dc.contributor.advisor1.fl_str_mv Mocumbi, Ana Olga
Costa, Filipe Aníbal Carvalho
contributor_str_mv Mocumbi, Ana Olga
Costa, Filipe Aníbal Carvalho
dc.subject.other.none.fl_str_mv Infecções Estreptocócicas
Faringite
Streptococcus pyogenes
Criança
topic Infecções Estreptocócicas
Faringite
Streptococcus pyogenes
Criança
description Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
publishDate 2015
dc.date.issued.fl_str_mv 2015
dc.date.accessioned.fl_str_mv 2019-07-23T15:13:03Z
dc.date.available.fl_str_mv 2019-07-23T15:13:03Z
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dc.identifier.citation.fl_str_mv CHICAVEL, Daniel Pedro. Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, cidade de Maputo. 2015. 59 f. Dissertação (Mestrado em Ciências da Saúde)-Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Maputo, 2015.
dc.identifier.uri.fl_str_mv https://arca.fiocruz.br/handle/icict/34359
identifier_str_mv CHICAVEL, Daniel Pedro. Infecção por estreptococos ß-hemolíticos do grupo A (Streptococcus pyogenes) em crianças com infecções respiratórias agudas assistidas no Centro de Saúde da Polana Caniço, cidade de Maputo. 2015. 59 f. Dissertação (Mestrado em Ciências da Saúde)-Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Maputo, 2015.
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
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