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in Albania - Instituti i Shendetit Publik

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INTERNATIONAL PUBLIC HEALTH CONFERENCE IN TIRANA, ALBANIAIncidence of Group-A Beta Hemolytic Streptococcal(GABHS) Carriers <strong>in</strong> ENT PracticeSonil Mone 1 , Iris Mone 21Regional hospital, Vlora, <strong>Albania</strong>;2Faculty of Medic<strong>in</strong>e, University of Medic<strong>in</strong>e, Tirana, <strong>Albania</strong>.Aim: To evaluate the role of GABHS <strong>in</strong> acute andchronic throat <strong>in</strong>fections <strong>in</strong> children from 5 to 15years old, and to identify a way for the eradicationof the <strong>in</strong>fection.Methods: We have collected data from patientsvisited <strong>in</strong> our ENT department from 2009 to 2013.Several groups of patients have been selected forthis study:Patients without any symptoms ofpharyngitis, who are rout<strong>in</strong>ely exam<strong>in</strong>ed at our cl<strong>in</strong>icfor other problems (Group I, Number of patientsn=60);Patients diagnosed with Tonsillophar<strong>in</strong>gitiswithout any current treatment (Group II, n= 85);Patients who had completed a full antibiotictreatment for GABHS throat <strong>in</strong>fection (Group III,n=70);Patients who had been removed tonsilswith or without adenoidectomy (Group IV, n=60).Throat swabs for bacterial isolation were cultured<strong>in</strong> a private laboratory. This approach wasconsidered as the best means for determ<strong>in</strong><strong>in</strong>g thepresence of GABHS <strong>in</strong> the throat.Results: The <strong>in</strong>cidence of GABHS carriers amongthe first group of children was 1.5%. Patientsdiagnosed with tonsilopharyngitis regardless of theetiology(viral or bacterial) of the second group hadan <strong>in</strong>cidence of 6%. In patients who had received10 days of oral cephalospor<strong>in</strong> for acute GABHS<strong>in</strong>fection, the culture was positive <strong>in</strong> 20% of them.Only two patients (3.3%) <strong>in</strong> the fourth group werestill carriers of GABHS.Conclusion: The role of GABHS <strong>in</strong> acute throat<strong>in</strong>fection <strong>in</strong> children is often overrated, and theimmediate use of antibiotics without any further<strong>in</strong>vestigation <strong>in</strong> not justifiable. The best approach foreradication of the streptococcal throat <strong>in</strong>fectionrema<strong>in</strong>s tonsillectomy. It would be <strong>in</strong>terest<strong>in</strong>g forfurther studies to determ<strong>in</strong>e if the positive effect ofsurgery is not limited over time.Keywords: carrier, ENT, Group-A Beta HemolyticStreptococcal (GA BHS).ALBANIAN MEDICAL JOURNAL SUPPLEMENT71

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