| Group A streptococcus-associated upper respiratory tract infections in a day-care center. | |
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MedLine Citation:
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PMID: 2645567 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Little information is available about the epidemiology of group A streptococcal upper respiratory tract infections in child day-care centers. During an initial 3-month period, symptomatic upper respiratory tract infections associated with throat cultures or rapid antigen detection tests positive for group A streptococci developed in 55 of 214 (26%) children and adult staff in one day-care center. When the entire day-care center population (except for those receiving antibiotics at the time) was then surveyed, 52 of 146 (36%) children and two of 24 (8%) adult staff had throat cultures positive for group A streptococci. Of the 54 group A streptococcal isolates found during the survey, the three most frequently encountered serotypes were M2,T2/28 (35%), M3,T3/13 (30%), and M-NT, T25 (20%). Rapid antigen detection was performed at the same time as the throat culture in the first 98 individuals examined during the culture survey but was positive in only 11 (35%) of 31 individuals with positive throat cultures. Sensitivity of the rapid antigen test was related to degree of positivity of the throat culture but not to age. The overall group A streptococcal positivity rate was 49% for 187 children and 33% for 27 adult staff; 18 of 66 (27%) children younger than 31/2 years of age were found to have group A streptococci in their upper respiratory tracts. This is the first report of high prevalence rates of group A streptococci associated with upper respiratory tract infections in a day-care center. The group A Streptococcus may represent a significant upper respiratory tract pathogen in the day-care setting. |
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Authors:
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T D Smith; V Wilkinson; E L Kaplan |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Pediatrics Volume: 83 ISSN: 0031-4005 ISO Abbreviation: Pediatrics Publication Date: 1989 Mar |
Date Detail:
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Created Date: 1989-04-03 Completed Date: 1989-04-03 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 380-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN 55455. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Antigens, Bacterial / analysis Bacteriological Techniques Carrier State / microbiology Child Child Day Care Centers* Child, Preschool Disease Outbreaks* Humans Infant Pharyngitis / epidemiology Respiratory Tract Infections / epidemiology*, microbiology Serotyping Streptococcal Infections / epidemiology*, microbiology Streptococcus pyogenes / immunology, isolation & purification |
| Chemical | |
Reg. No./Substance:
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0/Antigens, Bacterial |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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