Prevalence of Bhaemolytic Streptococcal infection in three of the Primary schools of Ahmedabad Munic

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AQUARIUS
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Prevalence of Beta-haemolytic Streptococcal
infection in children aged 5 6 years,
complaining of Sore Throat.
Project Title
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Study conducted by

• Vikrant S. Sood (Roll No.115)
• Sneha K. Taylor (Roll No.118)
• Janki H. Thakkar (Roll No.119)
• Dipak R. Thakor (Roll No.120)
• Chirag P. Vaghela (Roll No.121)

Dr. D.V. BALA, Associate Professor. Dr. VAIBHAVI
PATEL., Junior Lecturer.
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Introduction

• BETA-HAEMOLYTIC STREPTOCOCCAL INFECTION AS
  PROJECT
• Group A streptococci accounts for about 5-30 of
  acute cases of pharyngitis. There is a potential
  risk of complications to the child such as
  Rheumatic fever, with considerable morbidity
  Rheumatic carditis.

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Introduction

• YOUNG CHILDREN AS A TARGET
• Although seen in patients of all ages, Group A
  streptococcal pharyngitis is one of the most
  common bacterial infections of childhood,
  accounting for 10 to 50 of all cases of
  exudative pharyngitis in children.
• It is rare among those lt 3 years.
• Younger children may manifest streptococcal
  infection with a syndrome of fever, malaise
  lymphadenopathy without exudative pharyngitis.

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Introduction

• RHEUMATIC FEVER is a condition that is a
  complication of untreated streptococcal sore
  throat .More than half of the time, rheumatic
  fever leads to scarring of heart valves, this can
  lead to condition called RHEUMATIC HEART DISEASE,
  which, in time, can lead to Congestive Heart
  Failure.

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Aims Objectives

• Clinical examination of all the children aged
  5 and 6 years studying in the Ahmedabad Municipal
  Corporation primary schools.

• To study the prevalence of Beta-Haemolytic
  Streptococcal infection in children of age group
  5 6 years suffering from Sore Throat.

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Aims Objectives

• To study other symptoms associated with Sore
  Throat

• To study the antibiotic sensitivity of the
  Beta-Haemolytic streptococci

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Materials Methods

• Materials used
• 1) Sterile Throat Swabs
• 2) Printed proforma
• Methodology
• Study Design Cross sectional study
• Sample size 203 subjects
• Inclusion criteria Children having symptoms
  of sore throat for taking the throat
  swab.
• Exclusion criteria Children neither having
  symptoms of sore throat nor throat
  congestion.

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Methodology
Primary school children of Ahmedabad Municipal
Corporation Schools N 3100
Children aged 5 and 6 years were clinically
examined N 552
Children suffering from sore throat were
selected N 203
Throat swabs were taken from examined children N
203
Throat swab positive for Beta-Haemolytic
Streptococci N 38
Throat swab negative for Beta-Haemolytic
streptococci N 165
Referred to Paediatric OPD for treatment N 38
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Time Line chart
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Age and Sex wise distribution of subjects with
sore throat or throat congestion
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Sex wise distribution of the Signs / Symptoms
associated with Sore throat
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Age wise distribution of the Signs / Symptoms
associated with Sore throat or throat congestion
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Culture Reports of throat swabs positive for
B-Haemolytic Streptococci
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Drug Sensitivity Reports of throat culture
positive for B-Haemolytic Streptococci
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Summary Conclusions

• A total of 203 subjects aged 5 6 years were
  studied.

• Sore Throat was the universal presenting
  complaint in all the subjects. Throat congestion
  was observed in all of them.

• Prevalence of Beta-Haemolytic Streptococcal
  infection was 38 (19 ). (Positivity of
  streptococcal sore throat culture was 19)

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Summary Conclusions

• Highest sensitivity was found for Cefotaxime
  while Highest resistance was found for
  Cotrimoxazole.

• In our hospital setup Ampicillin, Cephalexin and
  Roxythromycin are commonly used.

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Recommendation

• Children suffering from sore throat visit the
  health care facilities.
• Such children be given adequate antibiotics to
  reduce further complications.
• Public Health education sessions to increase
  awareness regarding importance of sore throat and
  its future implications as a part of the school
  health programme.

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Thank You