Background: The prevalence of Group A streptococcus (GAS) carriage among adults is studied less than in children. The variability of reported carriage rates is considerably large and differs among diverse geographic areas and populations.
Objectives: To evaluate the prevalence of GAS carriage among adults in Israel.
Methods: In this prospective study, conducted in a large healthcare maintenance organization in Israel, we obtained pharyngeal cultures from adults attending the clinic without upper respiratory tract complaints or fever. Patient data included sex, age, number of children, and religious sectors.
Results: From May to December 2022, eight family physicians collected a total of 172 throat swabs (86% response rate). The median age was 37 years (range 18-65); 72.7% were females, 22.7% were ultra-Orthodox Jewish, and 69.2% had children. The prevalence of GAS carriage was 6.98%, 95% confidence interval (95%CI) 3.7%-11.9%. GAS carriers were younger (31.7 vs. 39.3 years, P = 0.046), and the majority were ultra-Orthodox Jews (58.3% vs. 20%, P = 0.006). All GAS carriers were from lower socioeconomic status. When assessing risk factors for GAS carriage using multivariate analysis, only being an ultra-Orthodox Jew was positively related to GAS carriage (adjusted odds ratio 5.6, 95%CI 1.67-18.8).
Conclusions: Being an ultra-Orthodox Jew was the single variable associated with a GAS carriage, which may be related to having many children at home and living in overcrowded areas. Primary care physicians in Israel should recognize this situation when examining patients with sore throats, mainly ultra-Orthodox Jews.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Clinical Snapshot of Group A Streptococcal Isolates from an Australian Tertiary Hospital.
Pathogens
November 2024
Australian Infectious Diseases Research Centre, Institute for Molecular Bioscience, The University of Queensland, Brisbane, QLD 4067, Australia.
(Group A , GAS) is a human-restricted pathogen that causes a wide range of diseases from pharyngitis and scarlet fever to more severe, invasive infections such as necrotising fasciitis and streptococcal toxic shock syndrome. There has been a global increase in both scarlet fever and invasive infections during the COVID-19 post-pandemic period. The aim of this study was the molecular characterisation of 17 invasive and non-invasive clinical non-1 GAS isolates from an Australian tertiary hospital collected between 2021 and 2022.
View Article and Find Full Text PDFImpact of COVID-19 health precautions on asymptomatic Streptococcus pyogenes carriage in palestinian children: a pre- and post-pandemic study.
BMC Infect Dis
October 2024
Faculty of Medicine, Al-Quds University, Abu Dis, Palestine.
Article Synopsis
- A study investigated the impact of COVID-19 health measures on the prevalence of asymptomatic Streptococcus pyogenes (GAS) carriage among schoolchildren in the southern West Bank, Palestine, comparing data from before and after the pandemic.
- Results showed a significant decline in GAS carriage from 15.7% pre-COVID-19 to 10.4% post-COVID-19, particularly among urban and medium socioeconomic children.
- Protective factors against GAS carriage included frequent hand washing and tooth brushing, while a higher BMI was identified as a risk factor.
Invasive Streptococcus pyogenes infection: a case report.
Access Microbiol
July 2024
Department of Clinical Bacteriology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.
Article Synopsis
- - Group A Streptococcus (GAS) is a bacteria that can cause a range of infections, from mild issues like tonsillitis to severe ones like septicemia, and has seen a resurgence in severe cases since the 1980s.
- - A case study describes a 28-year-old man in Morocco who developed septic arthritis after experiencing flu-like symptoms and tonsillitis, leading to significant swelling and joint pain.
- - Treatment involved dual antibiotics and drainage of an abscessed knee joint, highlighting the importance of prompt detection and treatment of severe GAS infections, along with advocating for antibiotic prophylaxis recommendations.
Drinker driver flyer diver.
Diving Hyperb Med
June 2024
Clinical Hyperbaric Facility, Hull and East Riding Hospital, Anlaby, UK.
Blood alcohol concentrations above defined levels are detrimental to cognitive performance. Empirical and published evidence suggest that nitrogen narcosis is analogous to alcohol intoxication with both impairing prefrontal cortex function. Nitrogen narcosis is also known to have been a factor in fatal accidents.
View Article and Find Full Text PDFHeat stress increases carbohydrate oxidation rates and oxygen uptake during prolonged load carriage exercise.
Temperature (Austin)
March 2024
Center for Research & Education in Special Environments, University at Buffalo, Buffalo, USA.
Military missions are conducted in a multitude of environments including heat and may involve walking under load following severe exertion, the metabolic demands of which may have nutritional implications for fueling and recovery planning. Ten males equipped a military pack loaded to 30% of their body mass and walked in 20°C/40% relative humidity (RH) (TEMP) or 37°C/20% RH (HOT) either continuously (CW) for 90 min at the first ventilatory threshold or mixed walking (MW) with unloaded running intervals above the second ventilatory threshold between min 35 and 55 of the 90 min bout. Pulmonary gas, thermoregulatory, and cardiovascular variables were analyzed following running intervals.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!