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Bacteriological Survey of beta-Hemolytic Streptococci from the Throats of Elementary School Children in Chinju -Compared with the Results of Children in Kangwon, Chungnam and Seoul-

Journal of the Korean Pediatric Society 1996;39(2):238-245.
Published online February 15, 1996.
Bacteriological Survey of beta-Hemolytic Streptococci from the Throats of Elementary School Children in Chinju -Compared with the Results of Children in Kangwon, Chungnam and Seoul-
Seon-Ju Kim1, Kook-Young Maeng1, Hyang-Im Lee1, Yun-Kyong Cho1, Hee-Sang Yun2
1Department of Clinical Pathology, Gyeonsang National University School of Medicine, Chinju, Korea
2Department of Pediatrics, Gyeonsang National University School of Medicine, Chinju, Korea
진주지방 국민학생 인두에서 베타용혈성 연쇄구균 분리 ― 강원도, 충남 및 서울 국민학생의 분리율과 비교 ―
김선주1, 맹국영1, 이향임1, 조윤경1, 윤희상2
1경상대학교 의과대학 임상병리학교실
2경상대학교 의과대학 소아과학교실
Abstract
Purpose
: Throat culture for streptococcal pharyngitis is a gold standard to diagnose, but it may be misleading to interpret due to the carriers. The isolation rates of beta-hemolytic streptococci (BHS) and Streptococcus pyogenes in the school children in Chinju were investigated and compared with those of Kangwon, Chungnam and Seoul previously reported.
Methods
: Throat cultures were taken from the healthy 476 elementary school children who had no symptoms or signs of upper respiratory tract infection in April 1995, and the betahemolytic streptococci were identified with bacitracin disk (0.04 U) and latex agglutination.
Results
: One-hundred fifty-four (32.4%) yielded BHS and 88 (18.5%) had S. pyogenes. The serogrouping revealed 30 (6.7%) group G, 24 (5.0%) group C, 4 (0.8%) group B, and 8 (1.7%) non-group A,B,C,G respectively.
Conclusion
: The isolation rate of BHS in Chinju was significantly higher (p<0.001) than the results of Kangwon, Chungnam and Seoul. The identification of BHS was also different from the other areas. In addition to these bacteriologic investigation, the study should be followed whether these carriers were simple contact ones or suffered from asymptomatic infections, and the epidemiologic study using serotyping, such as M or T typing, is necessary.
Key Words: Beta-hemolytic streptococci, Streptococcus pyogenes


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