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[Streptococcal pharyngitis in the pediatric emergency department: value and impact of rapid antigen detection test].

Identifieur interne : 000189 ( Ncbi/Merge ); précédent : 000188; suivant : 000190

[Streptococcal pharyngitis in the pediatric emergency department: value and impact of rapid antigen detection test].

Auteurs : N. Buchbinder [France] ; A. Benzdira ; A. Belgaïd ; D. Dufour ; J-C Paon ; A. Morel ; P. Le Roux

Source :

RBID : pubmed:17651949

English descriptors

Abstract

The French Health Agency (Afssaps) recommands the resort to the streptocoque rapid test strip for a better targetting of antibiotics prescription.

DOI: 10.1016/j.arcped.2007.06.027
PubMed: 17651949

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pubmed:17651949

Le document en format XML

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<title xml:lang="en">[Streptococcal pharyngitis in the pediatric emergency department: value and impact of rapid antigen detection test].</title>
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<name sortKey="Buchbinder, N" sort="Buchbinder, N" uniqKey="Buchbinder N" first="N" last="Buchbinder">N. Buchbinder</name>
<affiliation wicri:level="3">
<nlm:affiliation>Service des urgences pédiatriques, hôpital Flaubert, groupe hospitalier, 55 bis, rue Gustave-Flaubert, 76600 Le Havre, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service des urgences pédiatriques, hôpital Flaubert, groupe hospitalier, 55 bis, rue Gustave-Flaubert, 76600 Le Havre</wicri:regionArea>
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<name sortKey="Benzdira, A" sort="Benzdira, A" uniqKey="Benzdira A" first="A" last="Benzdira">A. Benzdira</name>
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<name sortKey="Belgaid, A" sort="Belgaid, A" uniqKey="Belgaid A" first="A" last="Belgaïd">A. Belgaïd</name>
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<name sortKey="Dufour, D" sort="Dufour, D" uniqKey="Dufour D" first="D" last="Dufour">D. Dufour</name>
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<name sortKey="Paon, J C" sort="Paon, J C" uniqKey="Paon J" first="J-C" last="Paon">J-C Paon</name>
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<name sortKey="Morel, A" sort="Morel, A" uniqKey="Morel A" first="A" last="Morel">A. Morel</name>
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<name sortKey="Le Roux, P" sort="Le Roux, P" uniqKey="Le Roux P" first="P" last="Le Roux">P. Le Roux</name>
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<title xml:lang="en">[Streptococcal pharyngitis in the pediatric emergency department: value and impact of rapid antigen detection test].</title>
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<name sortKey="Morel, A" sort="Morel, A" uniqKey="Morel A" first="A" last="Morel">A. Morel</name>
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<title level="j">Archives de pediatrie : organe officiel de la Societe francaise de pediatrie</title>
<idno type="ISSN">0929-693X</idno>
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<term>Anti-Bacterial Agents (therapeutic use)</term>
<term>Antigens, Bacterial (isolation & purification)</term>
<term>Bacteriological Techniques</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Drug Utilization</term>
<term>Emergency Service, Hospital</term>
<term>Humans</term>
<term>Pharyngitis (drug therapy)</term>
<term>Pharyngitis (microbiology)</term>
<term>Predictive Value of Tests</term>
<term>Prospective Studies</term>
<term>Sensitivity and Specificity</term>
<term>Streptococcal Infections (diagnosis)</term>
<term>Streptococcal Infections (drug therapy)</term>
<term>Streptococcus pyogenes (immunology)</term>
<term>Streptococcus pyogenes (isolation & purification)</term>
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<term>Antigens, Bacterial</term>
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<term>Anti-Bacterial Agents</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Streptococcal Infections</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Pharyngitis</term>
<term>Streptococcal Infections</term>
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<keywords scheme="MESH" qualifier="immunology" xml:lang="en">
<term>Streptococcus pyogenes</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Streptococcus pyogenes</term>
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<term>Pharyngitis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bacteriological Techniques</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Drug Utilization</term>
<term>Emergency Service, Hospital</term>
<term>Humans</term>
<term>Predictive Value of Tests</term>
<term>Prospective Studies</term>
<term>Sensitivity and Specificity</term>
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<div type="abstract" xml:lang="en">The French Health Agency (Afssaps) recommands the resort to the streptocoque rapid test strip for a better targetting of antibiotics prescription.</div>
</front>
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<pubmed>
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<PMID Version="1">17651949</PMID>
<DateCreated>
<Year>2007</Year>
<Month>9</Month>
<Day>7</Day>
</DateCreated>
<DateCompleted>
<Year>2007</Year>
<Month>12</Month>
<Day>14</Day>
</DateCompleted>
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<Year>2007</Year>
<Month>9</Month>
<Day>7</Day>
</DateRevised>
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<ISSN IssnType="Print">0929-693X</ISSN>
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<Volume>14</Volume>
<Issue>9</Issue>
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<Year>2007</Year>
<Month>Sep</Month>
</PubDate>
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<Title>Archives de pediatrie : organe officiel de la Societe francaise de pediatrie</Title>
<ISOAbbreviation>Arch Pediatr</ISOAbbreviation>
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<ArticleTitle>[Streptococcal pharyngitis in the pediatric emergency department: value and impact of rapid antigen detection test].</ArticleTitle>
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<MedlinePgn>1057-61</MedlinePgn>
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<AbstractText Label="UNLABELLED">The French Health Agency (Afssaps) recommands the resort to the streptocoque rapid test strip for a better targetting of antibiotics prescription.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To evaluate the systematic use of the test in a pediatric emergengy department.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Comparison of results of the test to the laboratory cultures. Our study took place between January and December 2004. Two thousand one hundred (and) forty-four children with acute pharyngitis have been included (mean age: 4.8+/-3.6 years).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Group A streptococcus was involved in 57 pharyngitis (26%). Mean age of children with positive culture was 7+/-3 years versus 4+/-3 years if culture was negative (p>0.05). The test sensitivity was 77% (CI 95%: 65-86) and its specificity 82% (CI 95%: 75-87), the positive predictive value was 60% (CI 95%: 49-71) and the negative predictive value 91% (CI 95%: 85-95). Antibiotic prescriptions have diminished: no prescription for 70% of pharyngitis and for 93% if cultures were negative.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The rapid test strip wide use has a strong repercussion on the antibiotics prescription. This test is realist in pediatric emergency unit.</AbstractText>
</Abstract>
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