Naslov
Comparison of clinical characteristics of group A streptococcal bacteremia in children and adults

Autori
Begovac, Josip ; Kuzmanović, Nataša ; Bejuk, Danijela

Izvornik
Clinical infectious diseases (1058-4838) 23 (1996), 1; 97-100

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
streptococcal; group A streptococci; bacteremia

Sažetak
This reports reviews 55 cases of bacteremia due to group A streptococci (GAS) in patients treated at the University Hospital of Infectious Diseases, in Zagreb, Croatia, during the period 1974. – 1994. Clinical findings for 27 children (age, < 18 years) were compared with those for 28 adults. A clear predominance of the respiratory tract as a primary focus of infection in younger patients was observed (P = .00006). Children were more frequently colonized by GAS in their throats than were adults (P = .02). Suppurative osteoarticular metastatic foci were more often found in children (P = .2). Acute underlying conditions were more common in children (P = .04), whereas chronic underlying conditions were more common in adults (P = .00005). The case fatality rate was 23% among children (6 of 27) and 50% among patients aged >60 years (5 od 10). The course of bacteremia due to GAS was benign in eight children (29,6%) and 12 adults (42.8%). Our experience suggests that there are significant differences in the presentation of bacteriemia due to GAS in children and adults.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA