EPIDEMIOLOGY AND BACTERIOLOGICAL ANALYSIS OF ACUTE PHARYNGITIS AND TONSILLITIS IN PEDIATRIC PATIENTS: A STUDY FROM A TERTIARY CARE HOSPITAL

Main Article Content

Dr. Mohd Nasaruddin

Keywords

Acute pharyngitis, tonsillitis, pediatric infections, Streptococcus pyogenes, bacterial pathogens, socioeconomic status, age distribution, clinical symptoms, antibiotic treatment.

Abstract

Acute pharyngitis and tonsillitis are common infections, particularly in the pediatric population, leading to significant healthcare visits worldwide. This study aimed to analyze the incidence, clinical features, and bacteriological characteristics of acute pharyngitis and tonsillitis in children attending a tertiary care hospital. A total of 150 pediatric patients, aged 2-12 years, were included in this study. Data were collected on age, socioeconomic status, occupation, symptoms, signs, and bacterial pathogens. The highest incidence of acute pharyngitis and tonsillitis was observed in the 6-8 years age group (52%), with a higher prevalence in male patients (56%) and children from low-income families (59%). Clinical symptoms included sore throat (100%), fever (59%), and odynophagia (35%). Bacteriological analysis revealed that 76% of the samples contained pathogens, with 65% Gram-positive bacteria and 20% Gram-negative bacteria. The most common pathogen identified was Streptococcus pyogenes. These findings highlight the need for accurate diagnosis and appropriate antibiotic use, especially in pediatric patients from lower socioeconomic backgrounds, and emphasize the role of targeted treatment to prevent complications such as recurrent infections and antibiotic resistance.

Abstract 93 | PDF Downloads 64

References

1. American Academy of Pediatrics. Group A streptococcal infections. In: Pickering LK, ed. Red Book: 2003 Report of the Committee of Infectious Diseases. 26th ed. Elk Grove Village, Ill: American Academy of Pediatrics;2003.
2. Bisno AL, Gerber MA, Gwaltney JM Jr, Kaplan EL, Schwartz RH. Practice guideline for the diagnosis and management of group A streptococcal pharyngitis. Clin Infect Dis. 2002;35:113-125
3. Linder JA, Bates DW, Lee GM, Finkelstein JA. Antibiotic treatment of children with sore throat. JAMA. 2005;294:2315–22.
4. Cohen JI, Mocarski ES, Raab-Traub N, Corey L, Nabel GJ. The need and challenges for development of an Epstein-Barr virus vaccine. Vaccine. 2013 Apr;31 Suppl 2: B194–B196.
5. Cingi C, Songu M, Ural A, Yildirim M, Erdogmus N, Bal C. Effects of chlorhexidine/benzydamine mouth spray on pain and quality of life in acute viral pharyngitis: a prospective, randomized, double-blind, placebo-controlled, multicenter study. Ear Nose Throat J. 2010 Nov;89(11):546–549.
6. Carapetis JR, Steer AC, Mulholland EK, Weber M. The global burden of group A streptococcal diseases. Lancet Infect Dis 2005;5:685-94.
7. Chiappini E, Principi N, Mansi N, Serra A, De Masi S, Camaioni A, Esposito S, Felisati G, Galli L, Landi M, Speciale AM, Bonsignori F, Marchisio P, de Martino M Italian Panel on the Management of Pharyngitis in Children. Management of acute pharyngitis in children: summary of the Italian National Institute of Health guidelines. Clin Ther.2012 Jun;34(6):1442–1458.
8. Middleton DB, D’Amico F, Merenstein JH. Standardized symptomatic treatment vs penicillin as initial therapy Streptococcal pharyngitis. J. Pediatrics 1988; 113(6): 1089-1094.
9. Evans AS, Dick EC. Acute pharyngitis and tonsillitis in University of Wisconsin students. JAMA 1964; 190 (8): 699-708.
10. Veltry, RW, Sprinkle, PM, Mc Clugg JE. Epstein- Barr Virus associated with episodes of recurrent tonsillitis. Arch. Otolaryngol 1975; 101(9): 552-556.
11. surrow, JB, Handler SD, Telian SA, Fleisher GR, Baranak CC. Bacteriology of tonsil surface and core in children. Laryngoscope 1989; 99: 261-266.
12. Hidaya qarqani bukhari majed hameed madloul_ prevalence study of acute tonsillitis among paediatrics age groups International Journal of Medical Reviews and Case Reports January 08, 2019
13. Brook I, Yocum P, Friedman EM. Aerobic and anaerobic bacteria in tonsils of children with recurrent tonsillitis. Ann. Otol. Rhinol. Laryngol 1981; 90: 261-263.
14. Krober MS, Bass JW, Michels GN. Streptococcal paryngitisplacebo controlled double blind evaluation of clinical response to penicillin therapy. JAMA.1985; 253(9): 1271-1274.