[Streptococcal pharyngitis in the pediatric emergency department: value and impact of rapid antigen detection test].
Identifieur interne : 000271 ( PubMed/Curation ); précédent : 000270; suivant : 000272[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 RouxSource :
- Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [ 0929-693X ] ; 2007.
English descriptors
- KwdEn :
- Anti-Bacterial Agents (therapeutic use), Antigens, Bacterial (isolation & purification), Bacteriological Techniques, Child, Child, Preschool, Drug Utilization, Emergency Service, Hospital, Humans, Pharyngitis (drug therapy), Pharyngitis (microbiology), Predictive Value of Tests, Prospective Studies, Sensitivity and Specificity, Streptococcal Infections (diagnosis), Streptococcal Infections (drug therapy), Streptococcus pyogenes (immunology), Streptococcus pyogenes (isolation & purification).
- MESH :
- chemical , isolation & purification : Antigens, Bacterial.
- chemical , therapeutic use : Anti-Bacterial Agents.
- diagnosis : Streptococcal Infections.
- drug therapy : Pharyngitis, Streptococcal Infections.
- immunology : Streptococcus pyogenes.
- isolation & purification : Streptococcus pyogenes.
- microbiology : Pharyngitis.
- Bacteriological Techniques, Child, Child, Preschool, Drug Utilization, Emergency Service, Hospital, Humans, Predictive Value of Tests, Prospective Studies, Sensitivity and Specificity.
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:17651949Le document en format XML
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<author><name sortKey="Buchbinder, N" sort="Buchbinder, N" uniqKey="Buchbinder N" first="N" last="Buchbinder">N. Buchbinder</name>
<affiliation wicri:level="1"><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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<author><name sortKey="Benzdira, A" sort="Benzdira, A" uniqKey="Benzdira A" first="A" last="Benzdira">A. Benzdira</name>
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<author><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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<author><name sortKey="Morel, A" sort="Morel, A" uniqKey="Morel A" first="A" last="Morel">A. Morel</name>
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<author><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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<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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<keywords scheme="MESH" type="chemical" qualifier="isolation & purification" xml:lang="en"><term>Antigens, Bacterial</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><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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<front><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>
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<Month>9</Month>
<Day>7</Day>
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<Month>12</Month>
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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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<Abstract><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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