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American Academy of Pediatrics
Article

Group A Streptococcus-Associated Upper Respiratory Tract Infections in a Day-Care Center

Thomas D. Smith, Virginia Wilkinson and Edward L. Kaplan
Pediatrics March 1989, 83 (3) 380-384;
Thomas D. Smith
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Virginia Wilkinson
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Edward L. Kaplan
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Abstract

Little information is available about the epidemiology of group A streptococcal upper respiratory tract infections in child day-care centers. During an initial 3-month period, symptomatic upper respiratory tract infections associated with throat cultures or rapid antigen detection tests positive for group A streptococci developed in 55 of 214 (26%) children and adult staff in one day-care center. When the entire day-care center population (except for those receiving antibiotics at the time) was then surveyed, 52 of 146 (36%) children and two of 24 (8%) adult staff had throat cultures positive for group A streptococci. Of the 54 group A streptococcal isolates found during the survey, the three most frequently encountered serotypes were M2, T2/28 (35%), M3,T3/13 (30%), and M-NT, T25 (20%). Rapid antigen detection was performed at the same time as the throat culture in the first 98 individuals examined during the culture survey but was positive in only 11 (35%) of 31 individuals with positive throat cultures. Sensitivity of the rapid antigen test was related to degree of positivity of the throat culture but not to age. The overall group A streptococcal positivity rate was 49% for 187 children and 33% for 27 adult staff; 18 of 66 (27%) children younger than 3½ years of age were found to have group A streptococci in their upper respiratory tracts. This is the first report of high prevalence rates of group A streptococci associated with upper respiratory tract infections in a day-care center. The group A Streptococcus may represent a significant upper respiratory tract pathogen in the day-care setting.

  • group A Streptococcus
  • upper respiratory tract infection
  • day care
  • serotype
  • rapid antigen detection
  • throat culture
  • Received January 11, 1988.
  • Accepted March 23, 1988.
  • Copyright © 1989 by the American Academy of Pediatrics

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Pediatrics
Vol. 83, Issue 3
1 Mar 1989
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Group A Streptococcus-Associated Upper Respiratory Tract Infections in a Day-Care Center
Thomas D. Smith, Virginia Wilkinson, Edward L. Kaplan
Pediatrics Mar 1989, 83 (3) 380-384;

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Group A Streptococcus-Associated Upper Respiratory Tract Infections in a Day-Care Center
Thomas D. Smith, Virginia Wilkinson, Edward L. Kaplan
Pediatrics Mar 1989, 83 (3) 380-384;
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  • Prevention of Rheumatic Fever and Diagnosis and Treatment of Acute Streptococcal Pharyngitis: A Scientific Statement From the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young, the Interdisciplinary Council on Functional Genomics and Translational Biology, and the Interdisciplinary Council on Quality of Care and Outcomes Research: Endorsed by the American Academy of Pediatrics
  • Burden of Acute Sore Throat and Group A Streptococcal Pharyngitis in School-aged Children and Their Families in Australia
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