Diagnostic Accuracy of Clinical Symptoms and Rapid Diagnostic Test in Group A Streptococcal Perianal Infections in Children

From 2009 to 2014, we prospectively enrolled 132 children with perianal infections. The presentation of painful defecation, anal fissures, and macroscopic blood in stools was highly suggestive of group A streptococcal perianal infection (probability 83.3%). We found a high sensitivity of a group A s...

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Veröffentlicht in:	Clinical infectious diseases 2015-01, Vol.60 (2), p.267-270
Hauptverfasser:	Cohen, Robert, Levy, Corinne, Bonacorsi, Stéphane, Wollner, Alain, Koskas, Marc, Jung, Camille, Béchet, Stéphane, Chalumeau, Martin, Cohen, Jérémie, Bidet, Philippe
Format:	Artikel
Sprache:	eng
Schlagworte:	Accuracy Adolescent Anus Diseases - diagnosis Anus Diseases - microbiology BRIEF REPORT Child Child, Preschool Children & youth Clinical Medicine - methods Diagnostic Tests, Routine - methods Excretory system Female Gram-positive bacteria Humans Male Medical diagnosis Probability Prospective Studies Sensitivity analysis Sensitivity and Specificity Streptococcal Infections - diagnosis Streptococcal Infections - microbiology Streptococcus pyogenes - isolation & purification Time Factors
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Zusammenfassung:	From 2009 to 2014, we prospectively enrolled 132 children with perianal infections. The presentation of painful defecation, anal fissures, and macroscopic blood in stools was highly suggestive of group A streptococcal perianal infection (probability 83.3%). We found a high sensitivity of a group A streptococcal rapid diagnostic testing (98%) but relatively low specificity (72.8%).
ISSN:	1058-4838 1537-6591
DOI:	10.1093/cid/ciu794