Journal article

Prospective Surveillance of Streptococcal Sore Throat in a Tropical Country

Andrew C Steer, Adam WJ Jenney, Joseph Kado, Michael F Good, Michael Batzloff, Graham Magor, Roselyn Ritika, Kim E Mulholland, Jonathan R Carapetis

PEDIATRIC INFECTIOUS DISEASE JOURNAL | LIPPINCOTT WILLIAMS & WILKINS | Published : 2009

Abstract

BACKGROUND: Acute rheumatic fever and rheumatic heart disease cause a high burden of disease in Fiji and surrounding Pacific Island countries, but little is known about the epidemiology of group A streptococcal (GAS) pharyngitis in the region. We designed a study to estimate the prevalence of carriage of beta-hemolytic streptococci (BHS) and the incidence of BHS culture-positive sore throat in school aged children in Fiji. METHODS: We conducted twice-weekly prospective surveillance of school children aged 5 to 14 years in 4 schools in Fiji during a 9-month period in 2006, after an initial phase of pharyngeal swabbing to determine the prevalence of BHS carriage. RESULTS: We enrolled 685 child..

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