Prevalence of streptococcal pharyngitis and streptococcal carriage in children: a meta-analysis - PubMed (original) (raw)
Meta-Analysis
. 2010 Sep;126(3):e557-64.
doi: 10.1542/peds.2009-2648. Epub 2010 Aug 9.
Affiliations
- PMID: 20696723
- DOI: 10.1542/peds.2009-2648
Meta-Analysis
Prevalence of streptococcal pharyngitis and streptococcal carriage in children: a meta-analysis
Nader Shaikh et al. Pediatrics. 2010 Sep.
Abstract
Objectives: Prevalence estimates can help clinicians make informed decisions regarding diagnostic testing of children who present with symptoms of pharyngitis. We conducted a meta-analysis to determine the (1) prevalence of streptococcal infection among children who presented with sore throat and (2) prevalence of streptococcal carriage among asymptomatic children.
Methods: We searched Medline for articles on pediatric streptococcal pharyngitis. We included articles in our review when they contained data on the prevalence of group A Streptococcus (GAS) from pharyngeal specimens in children who were younger than 18 years. Two evaluators independently reviewed, rated, and abstracted data from each article. Prevalence estimates were pooled in a meta-analysis and stratified according to age group.
Results: Of the 266 articles retrieved, 29 met all inclusion criteria. Among children of all ages who present with sore throat, the pooled prevalence of GAS was 37% (95% confidence interval [CI]: 32%-43%). Children who were younger than 5 years had a lower prevalence of GAS (24% [95% CI: 21%-26%]). The prevalence of GAS carriage among well children with no signs or symptoms of pharyngitis was 12% (95% CI: 9%-14%).
Conclusions: Prevalence rates of GAS disease and carriage varied by age; children who were younger than 5 years had lower rates of throat cultures that were positive for GAS.
Comment in
- Age and symptoms affect the prevalence of group A beta-hemolytic streptococcus in pharyngeal cultures of school-age children.
Kainth MK, Krysan DJ. Kainth MK, et al. J Pediatr. 2011 Mar;158(3):515-6. doi: 10.1016/j.jpeds.2011.01.013. J Pediatr. 2011. PMID: 21316529 No abstract available.
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