Study of Factors Associated with Acute Pharyngitis

2020 
Introduction: acute pharyngitis is found in children as well as in adults. The peak incidence is between 5 and 15 years. The responsible germs are of viral or bacterial origin; the group A hemolytic beta streptococcus haunts this condition. Objective: Study the factors associated with acute pharyngitis in the ENT department of the CHU Gabriel TOURE in Bamako. Methods: A descriptive and analytical prospective study was conducted from August 30, 2015 to August 30, 2016. The study population consisted of patients admitted to the ENT department of the CHU Gabriel Toure in Bamako for acute pharyngitis. Data was collected using a questionnaire during the interview and physical examination. They were entered using Epi Data software version 3.01 and analyzed using R 3.1.2 software. Results: We collected 234 cases of pharyngitis between August 30, 2015 and August 30, 2016. The sex ratio (F / M) was 1.32. The mean age was 28.21 ± 14.20 years. The majority of patients presented with erythematous angina (81%). The group A hemolytic beta streptococcus was the predominant germ (58%). The active antibiotics on the germ were penicillin, amoxicillin, and cephalosporin. This germ was associated with erythematous angina and the risk was 3.99, CI (1.88-8.45). Complications were noted in 7 patients (3%) upon admission, including 1 case of cervical cellulitis and 6 cases of palatine tonsil phlegmon. No deaths have been recorded. Conclusion: The aspect of the palatine tonsil does not allow to evoke a viral or bacterial etiology from where the interest to carry out a bacteriological examination in particular the culture which could orient a bacterial etiology and help the practitioner to rationalize the indication of antibiotic therapy.
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