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Investigation of risk factors for tonsillopharyngitis with macrolide resistant Streptococcus pyogenes in Turkish children
Author(s) -
Çİftçİ Ergİn,
DoĞru Ülker,
Gürİz Haluk,
Aysev Derya,
İnce Erdal
Publication year - 2002
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1046/j.1442-200x.2002.01627.x
Subject(s) - streptococcus pyogenes , medicine , azithromycin , clarithromycin , erythromycin , penicillin , risk factor , macrolide antibiotics , telithromycin , antibacterial agent , tonsillitis , clindamycin , pharyngitis , microbiology and biotechnology , antibiotics , biology , bacteria , genetics , helicobacter pylori , staphylococcus aureus
Background: Streptococcus pyogenes is the most important causative agent of tonsillopharyngitis. Although penicillin is the drug of choice in streptococcal tonsillopharyngitis, macrolides are recommended drugs in patients who have an allergy to penicillin. However, resistance to macrolides is an important problem in some regions of the world. Risk factors for resistance development have not been investigated sufficiently.Objectives: To investigate the risk factors for the development of tonsillopharyngitis with macrolide resistant S. pyogenes.Methods: Three hundred and forty‐five children with tonsillopharyngitis caused by S. pyogenes were investigated for various risk factors. Streptococcus pyogenes isolated from children's throat culture were examined for erythromycin, clarithromycin and azithromycin susceptibility.Results: Two hundred and sixty‐three children were found eligible for the analysis of risk factors. Resistances to erythromycin, clarithromycin and azithromycin were detected as 3.8, 4.2 and 4.2%, respectively. Macrolide use of the family members in the last 3 months (odds ratio = 7.04, P = 0.005) has been determined to be a risk factor for the development of tonsillopharyngitis with macrolide resistant S. pyogenes .Conclusion: Restriction of macrolide antibiotic use appears to be the most important measure to prevent the development of tonsillopharyngitis with resistant S. pyogenes .