Epidemiology of pharyngitis as reported by Zambian school children and their families: implications for demand-side interventions to prevent rheumatic heart disease

 

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dc.contributor.author Musuku, John
dc.contributor.author Lungu, Joyce C
dc.contributor.author Machila, Elizabeth
dc.contributor.author Jones, Catherine
dc.contributor.author Colin, Laurence
dc.contributor.author Schwaninger, Sherri
dc.contributor.author Musonda, Patrick
dc.contributor.author Tadmor, Brigitta
dc.contributor.author Spector, Jonathan M
dc.contributor.author Engel, Mark E
dc.contributor.author Zühlke, Liesl J
dc.date.accessioned 2017-07-12T07:51:29Z
dc.date.available 2017-07-12T07:51:29Z
dc.date.issued 2017-07-06
dc.identifier.citation Musuku, J., Lungu, J. C., Machila, E., Jones, C., Colin, L., Schwaninger, S., ... & Zühlke, L. J. (2017). Epidemiology of pharyngitis as reported by Zambian school children and their families: implications for demand-side interventions to prevent rheumatic heart disease. BMC Infectious Diseases, 17(1), 473.
dc.identifier.uri http://dx.doi.org/10.1186/s12879-017-2563-x
dc.identifier.uri http://hdl.handle.net/11427/24735
dc.description.abstract Background: Prompt and appropriate treatment of streptococcal pharyngitis decreases the risk of acute rheumatic fever and rheumatic heart disease (RHD). Understanding public perceptions and behaviors related to sore throat is fundamental to inform health programs aimed at eliminating new cases of RHD in endemic regions. We sought to describe the epidemiology of pediatric pharyngitis and its treatment, as reported by children and their parents or guardians in Lusaka, Zambia. Methods: This was a cross-sectional investigation using interviews and written surveys, nested in a school-based RHD prevalence study. Students and their parents were asked to report number of sore throats in the previous 12 months, treatment received, and type and place of treatment. A focused history and physical examination to detect pharyngitis was conducted and children were referred for follow-up as indicated. Results: A total of 3462 students from 47 schools participated in the study, along with their parents or guardians. Six hundred and fifty eight (19%) parents/guardians reported their child had at least one sore throat in the previous year, and 835 (24%) of students reported at least one sore throat in the same time period. Girls were reported to have pharyngitis 50% more often than boys, and also made up two-thirds of the total students treated. Approximately two-thirds of children who had at least one episode of pharyngitis during the previous year were also reported to have received some form of treatment. The majority of treatments were received in government clinics (36.6%) and at home (26.3%). Half of treatments included an antibiotic. Nineteen students (0.5%) had clinically-apparent pharyngitis at screening. Conclusion: Pharyngitis is common among school-aged children and adolescents in Zambia, with females reporting significantly more sore throat episodes than males. Parents/guardians have variable knowledge about the frequency of sore throat in their children, and management of pharyngitis may be suboptimal for many children since more than a quarter were reported to have received treatment without skilled assessment. These results provide insight into current perceptions and practices related to sore throat in Zambia and will be used to design public awareness activities aimed at reducing RHD.
dc.language.iso en
dc.publisher BioMed Central
dc.source BMC Infectious Diseases
dc.source.uri https://bmcinfectdis.biomedcentral.com/
dc.subject.other Pharyngitis
dc.subject.other Rheumatic heart disease
dc.subject.other Zambia
dc.subject.other Cross-sectional study
dc.title Epidemiology of pharyngitis as reported by Zambian school children and their families: implications for demand-side interventions to prevent rheumatic heart disease
dc.type Journal Article
dc.date.updated 2017-07-09T03:17:21Z
dc.rights.holder The Author(s).
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Musuku, J., Lungu, J. C., Machila, E., Jones, C., Colin, L., Schwaninger, S., ... Zühlke, L. J. (2017). Epidemiology of pharyngitis as reported by Zambian school children and their families: implications for demand-side interventions to prevent rheumatic heart disease. <i>BMC Infectious Diseases</i>, http://hdl.handle.net/11427/24735 en_ZA
dc.identifier.chicagocitation Musuku, John, Joyce C Lungu, Elizabeth Machila, Catherine Jones, Laurence Colin, Sherri Schwaninger, Patrick Musonda, et al "Epidemiology of pharyngitis as reported by Zambian school children and their families: implications for demand-side interventions to prevent rheumatic heart disease." <i>BMC Infectious Diseases</i> (2017) http://hdl.handle.net/11427/24735 en_ZA
dc.identifier.vancouvercitation Musuku J, Lungu JC, Machila E, Jones C, Colin L, Schwaninger S, et al. Epidemiology of pharyngitis as reported by Zambian school children and their families: implications for demand-side interventions to prevent rheumatic heart disease. BMC Infectious Diseases. 2017; http://hdl.handle.net/11427/24735. en_ZA
dc.identifier.ris TY - Journal Article AU - Musuku, John AU - Lungu, Joyce C AU - Machila, Elizabeth AU - Jones, Catherine AU - Colin, Laurence AU - Schwaninger, Sherri AU - Musonda, Patrick AU - Tadmor, Brigitta AU - Spector, Jonathan M AU - Engel, Mark E AU - Zühlke, Liesl J AB - Background: Prompt and appropriate treatment of streptococcal pharyngitis decreases the risk of acute rheumatic fever and rheumatic heart disease (RHD). Understanding public perceptions and behaviors related to sore throat is fundamental to inform health programs aimed at eliminating new cases of RHD in endemic regions. We sought to describe the epidemiology of pediatric pharyngitis and its treatment, as reported by children and their parents or guardians in Lusaka, Zambia. Methods: This was a cross-sectional investigation using interviews and written surveys, nested in a school-based RHD prevalence study. Students and their parents were asked to report number of sore throats in the previous 12 months, treatment received, and type and place of treatment. A focused history and physical examination to detect pharyngitis was conducted and children were referred for follow-up as indicated. Results: A total of 3462 students from 47 schools participated in the study, along with their parents or guardians. Six hundred and fifty eight (19%) parents/guardians reported their child had at least one sore throat in the previous year, and 835 (24%) of students reported at least one sore throat in the same time period. Girls were reported to have pharyngitis 50% more often than boys, and also made up two-thirds of the total students treated. Approximately two-thirds of children who had at least one episode of pharyngitis during the previous year were also reported to have received some form of treatment. The majority of treatments were received in government clinics (36.6%) and at home (26.3%). Half of treatments included an antibiotic. Nineteen students (0.5%) had clinically-apparent pharyngitis at screening. Conclusion: Pharyngitis is common among school-aged children and adolescents in Zambia, with females reporting significantly more sore throat episodes than males. Parents/guardians have variable knowledge about the frequency of sore throat in their children, and management of pharyngitis may be suboptimal for many children since more than a quarter were reported to have received treatment without skilled assessment. These results provide insight into current perceptions and practices related to sore throat in Zambia and will be used to design public awareness activities aimed at reducing RHD. DA - 2017-07-06 DB - OpenUCT DO - 10.1186/s12879-017-2563-x DP - University of Cape Town J1 - BMC Infectious Diseases LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Epidemiology of pharyngitis as reported by Zambian school children and their families: implications for demand-side interventions to prevent rheumatic heart disease TI - Epidemiology of pharyngitis as reported by Zambian school children and their families: implications for demand-side interventions to prevent rheumatic heart disease UR - http://hdl.handle.net/11427/24735 ER - en_ZA


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