3,134 results match your criteria: "Pediatrics Pharyngitis"

Systemic autoinflammatory diseases caused by dysregulation of the innate immunity are a known cause of recurrent fevers. We present the molecular diagnosis results of 12 children with recurrent fever, analyzing the correlation between molecular findings and clinical symptoms. No pathogenic variants confirming autoinflammatory disease were found.

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  • Knowledge gaps in understanding human immunity to Streptococcus pyogenes have slowed vaccine development, prompting researchers to establish a human challenge model to study this infection.
  • The study analyzed antibody responses in serum and saliva from participants, revealing that those who developed pharyngitis had strong serum IgG responses to vaccine antigens but weaker mucosal IgA responses.
  • The findings indicate that past exposure to the bacteria affects immune responses, underscoring the need to consider these complexities when evaluating potential vaccines in future trials.
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Background: Periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome is a recurrent fever syndrome. The exact etiopathogenesis of PFAPA syndrome remains unknown. Biological fluids or tissues may provide disease-specific biomarkers that may help clinicians to find new pathogenic pathways.

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Long-Term Symptoms in Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Cervical Adenitis Syndrome after Tonsillectomy.

J Pediatr

November 2024

Department of Pediatrics, NU Hospital Group, Trollhättan, Sweden; Department of Pediatrics, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden; Department of Pediatric Rheumatology and Immunology, Queen Silvia Children's Hospital, Gothenburg, Sweden.

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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.

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Objective: To investigate a dose-response relationship between the magnitude of decrease in pediatric respiratory tract infections (RTI) during the 2020 implementation of non-pharmaceutical interventions (NPI) and the rise thereafter during NPI lifting.

Study Design: We conducted an interrupted, time-series analysis, based on a multinational surveillance system. All patients <16 years of age coming to medical attention with various symptoms and signs of RTI at 25 pediatric emergency departments from 13 European countries between January 2018 and June 2022 were included.

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Centor scores associated poorly with rapid antigen test findings in children with sore throat.

Eur J Pediatr

November 2024

Institute of Clinical Medicine and Department of Pediatrics, University of Eastern Finland, Yliopistonranta 2, 70211, Kuopio, Finland.

Unlabelled: The Finnish Current Care Guideline recommends rapid antigen tests as the primary diagnostic tool for both adults and children with Centor score ≥ 3. We aimed to analyze the association of Centor score and rapid antigen test positivity of group A streptococcal pharyngitis (GAS) in Finnish children. We performed a retrospective single-center study from July 2019 to June 2022.

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Disclaimer: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.

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Intracapsular versus extracapsular tonsil surgery: Comparison of postoperative haemorrhage outcomes in the Australasian setting.

Int J Pediatr Otorhinolaryngol

November 2024

Department of Otolaryngology Head and Neck Surgery, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.

Objective: To investigate the incidence and timing of postoperative haemorrhage between intracapsular (ICT) and extracapsular tonsillectomy (ECT) techniques and evaluate factors influencing haemorrhage risk and severity.

Methods: A retrospective review of patients undergoing tonsillectomy over 5 years across otolaryngology services in Australia and New Zealand. Primary outcomes were rate and timing of post-tonsillectomy haemorrhage.

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The COVID-19 period influence on pediatric deep neck abscess: Occurrences and clinical presentation.

Int J Pediatr Otorhinolaryngol

November 2024

Department of Otolaryngology-Head & Neck Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. Electronic address:

Objective: The purpose of the study was to investigate the influence of the COVID-19 pandemic on the incidence of deep neck infections (DNIs) in pediatric patients. In addition, it describes the clinical, laboratory, and microbiology presentation as well as the clinical outcomes.

Study Design: Retrospective cohort study.

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  • Rheumatic fever (RF), an autoimmune condition following untreated strep throat, mainly impacts children and can lead to serious heart issues, highlighting the need for awareness and prevention, especially in low-resource areas.
  • A study in Al-Baha, Saudi Arabia, surveyed 415 parents using an online questionnaire to evaluate their knowledge, attitudes, and practices regarding RF and RHD, revealing that most participants had poor knowledge and negative attitudes toward RF.
  • Results showed that only around 4.8% had good knowledge of RF, while 69.2% demonstrated good practices; females were more likely to have better practices than males, suggesting a need for enhanced educational initiatives by health authorities to improve understanding and prevention of these
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  • * The research included 60 children aged 2-17 with sore throats and high fevers, categorizing them into groups based on their diagnosis.
  • * Although IRT alone couldn't differentiate between bacterial and viral pharyngitis, it improved the prediction accuracy for streptococcal pharyngitis when used with the McIsaac score, achieving a 90% positive predictive value.
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Comparison of postoperative bleeding in pediatric tonsillectomy versus tonsillotomy.

Int J Pediatr Otorhinolaryngol

November 2024

Department of Otolaryngology and Head and Neck Surgery, Shaare-Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Israel. Electronic address:

Article Synopsis
  • - The study compared postoperative bleeding rates and severity in pediatric patients after tonsillotomy and tonsillectomy, showing that tonsillotomy had a significantly lower bleeding rate (3.9%) compared to tonsillectomy (9.5%). - Tonsillectomy was associated with higher rates of surgical interventions for bleeding control, readmissions, blood transfusions, and a greater drop in hemoglobin levels than tonsillotomy. - The research, covering patients from 2004-2022 at Shaare-Zedek Medical Center, indicated that tonsillotomy was not only safer in terms of bleeding but also took less time to perform.
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Introduction: In busy clinical settings, there is limited time to teach physical examination (PE) and procedural skills, particularly when the traditional head-to-toe PE approach is time-consuming. Near-peer teaching of a more efficient approach, the hypothesis-driven PE (HDPE), increases students' learning opportunities. We developed a near-peer HDPE module to improve medical student confidence, knowledge, and skills for diagnosing and managing streptococcal pharyngitis.

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The CandyCollect device is a lollipop-inspired open fluidic oral sampling device designed to provide a comfortable user sampling experience. We demonstrate that the CandyCollect device can be coupled with a rapid antigen detection test (RADT) kit designed for Group A Streptococcus (GAS). Through experiments with pooled saliva spiked with we tested various reagents and elution volumes to optimize the RADT readout from CandyCollect device samples.

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Optimal Pediatric Outpatient Antibiotic Prescribing.

JAMA Netw Open

October 2024

Division of Infectious Diseases, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.

Importance: In the US, 50% of all pediatric outpatient antibiotics prescribed are unnecessary or inappropriate. Less is known about the appropriateness of pediatric outpatient antibiotic prescribing.

Objective: To identify the overall percentage of outpatient antibiotic prescriptions that are optimal according to guideline recommendations for first-line antibiotic choice and duration.

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Pattern of ENT Diseases in Children: A Peripheral Military Hospital Based Study.

Mymensingh Med J

October 2024

Dr (Lt Col) Mohammad Misbah Al Kabir Sumon, Classified ENT Specialist, Combined Military Hospital, Sylhet Cantonment, Bangladesh; E-mail:

This study was aimed to find out the hospital based prevalence of paediatric ENT disorders in an ENT OPD of a peripheral military hospital of Bangladesh Armed Forces. This observational study was carried out at ENT out patient department of CMH Momenshahi, from 1st April 2017 to 31st March 2020. Irrespective of age and sex a total of 4612 children, between the ages of 0-14 years were included in this study.

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Article Synopsis
  • The study focused on the prevalence and antibiotic resistance patterns of a certain bacterium causing pharyngitis and skin infections in children, particularly in the Sidama Region of Southern Ethiopia.
  • Conducted from April to September 2022, researchers analyzed throat swabs from 213 pediatric patients, finding that 10.3% tested positive for the bacterium, with significant antibiotic resistance noted against tetracycline and ceftriaxone.
  • The study concluded that while the prevalence was lower than in other studies, the high resistance to common antibiotics emphasizes the need for tailored treatment based on susceptibility testing, along with monitoring risk factors and resistance trends.
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  • A case study is described involving a 15-year-old boy with IM who experienced abdominal pain, sore throat, and red urine, with tests showing elevated liver enzymes and confirmation of EBV infection.
  • Though he had mild anemia due to hemolysis, he improved with supportive care; it's important to rule out other causes of hematuria while considering IM in patients displaying both pharyngitis and hematuria.
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