Boyarchuk Oksana, Mochulska Oksana, Komorovsky Roman
MD, PhD, DSc, Professor, Head of the Department of Children's Diseases and Pediatric Surgery, I. Horbachevsky Ternopil National Medical University, 1, Maydan Voli, Ternopil, 46001, Ukraine.
MD, PhD, Assistant Professor of the Department of Children's Diseases and Pediatric Surgery, I. Horbachevsky Ternopil National Medical University, 1, Maydan Voli, Ternopil, 46001, Ukraine.
Germs. 2021 Sep 29;11(3):363-371. doi: 10.18683/germs.2021.1273. eCollection 2021 Sep.
The purpose of our study was to evaluate the knowledge of pediatricians in diagnosis and management of sore throat in children and to identify further ways to raise their awareness.
We conducted a survey among pediatricians on evaluation of diagnosis and management of pharyngitis in children. The study involved pediatricians of Ternopil region, Ukraine. Overall, 112 pediatricians participated in the study. Among the participants 79 (70.5%) were primary care physicians and 33 (29.5%) worked in the secondary and tertiary care hospitals.
Overall, 70.5% of pediatricians prescribed a throat swab for patients with pharyngitis in selected cases. However, they rarely (20 %) used Centor or McIsaak criteria to choose management strategy of sore throat. Amoxicillin as a first-line antibiotic for streptococcal pharyngitis was chosen by 66.1% of respondents and primary care pediatricians prescribed it more often than pediatricians in hospitals (p<0.001), but antibiotic therapy was prescribed for 10 days only by 52.7% of respondents. Less than half of the correct answers were to the questions related to prescription of antibacterial therapy in healthy children, in which GAS is detected in throat swab (39.3%) and in cases of positive antistreptolysin O (ASL-O - 25.9%).
The study showed a wide range of knowledge of pediatricians about the diagnosis and management of GAS pharyngitis - from satisfactory responses concerning prescription of antibiotic therapy to low level of knowledge about the diagnosis and determination of strategies in healthy carriers. These data emphasize the need to improve knowledge about the strategies of GAS pharyngitis control.
我们研究的目的是评估儿科医生对儿童咽喉痛的诊断和管理知识，并确定提高他们认识的进一步方法。
我们对儿科医生进行了一项关于儿童咽炎诊断和管理评估的调查。该研究涉及乌克兰捷尔诺波尔地区的儿科医生。总体而言，112名儿科医生参与了该研究。参与者中，79名（70.5%）是初级保健医生，33名（29.5%）在二级和三级医院工作。
总体而言，70.5%的儿科医生在特定病例中为咽炎患者开具了咽喉拭子检查。然而，他们很少（20%）使用森托或麦Isaak标准来选择咽喉痛的管理策略。66.1%的受访者选择阿莫西林作为链球菌性咽炎的一线抗生素，初级保健儿科医生比医院的儿科医生更频繁地开具该药物（p<0.001），但只有52.7%的受访者将抗生素治疗开具10天。对于与健康儿童抗菌治疗处方相关的问题，正确答案不到一半，其中在咽喉拭子中检测到A组链球菌（39.3%）以及抗链球菌溶血素O呈阳性的病例（25.9%）。
该研究表明儿科医生对A组链球菌性咽炎的诊断和管理知识范围广泛——从抗生素治疗处方的满意回答到对健康携带者诊断和策略确定的低水平知识。这些数据强调需要提高对A组链球菌性咽炎控制策略的认识。
