The Role of Physical Examination and Clinical Scores in Distinguishing Streptococcal Colonization from Pharyngitis in Pediatric Patients: Insights from a Common Clinical Scenario
Microorganisms,
Journal Year:
2025,
Volume and Issue:
13(3), P. 529 - 529
Published: Feb. 27, 2025
The
accurate
differentiation
between
asymptomatic
carriage
with
group
A
streptococcus
(GAS)
and
active
streptococcal
pharyngitis
is
a
complex
task
important
clinical
public
health
implications.
This
work
aims
to
highlight
the
key
strategies
necessary
for
optimizing
diagnostic
therapeutic
management
of
pediatric
pharyngitis.
Clinical
scores
are
essential
tools
improving
accuracy.
When
combined
laboratory
tests
such
as
throat
cultures
rapid
antigen
detection
tests,
these
systems
enable
effective
risk
stratification
patients,
supporting
more
precise
treatment
decisions.
In
addition
strategies,
article
underscores
importance
patient-centered
communication,
particularly
families
patients.
Clear,
empathetic
discussions
about
condition,
rationale,
plan
help
foster
trust,
enhance
adherence
medical
recommendations,
reduce
anxiety
related
potential
complications.
critical
outcome
reduction
unnecessary
antibiotic
use,
which
plays
pivotal
role
in
preventing
both
overdiagnosis
overprescription.
This,
turn,
mitigates
growing
threat
antimicrobial
resistance,
one
most
significant
global
challenges.
By
integrating
expertise,
standardized
protocols,
healthcare
providers
can
promote
judicious
or
carriage,
contributing
improved
individual
population
outcomes.
Language: Английский
Unraveling Dysgeusia in SARS-CoV-2 Infection: Clinical and Laboratory Insights from Hospitalized COVID-19 Patients in Romania
Elena Camelia Kouris,
No information about this author
Sînziana Irina Mirea,
No information about this author
Sigrid Covaci
No information about this author
et al.
Pathogens,
Journal Year:
2025,
Volume and Issue:
14(4), P. 300 - 300
Published: March 21, 2025
Introduction:
Dysgeusia
has
been
regarded
as
a
clinical
feature
associated
with
SARS-CoV-2
infection
since
the
onset
of
pandemic.
The
initial
circulating
variants
were
linked
to
presence
dysgeusia;
however,
emergence
Omicron
variant,
incidence
dysgeusia
decreased.
aim
this
study
was
identify
and
characteristics
patients
from
pandemic
variant.
Methods:
We
conducted
retrospective
March
2020
December
2021,
among
adult
hospitalized
COVID-19
in
main
infectious
diseases
hospital
Romania.
Clinical
laboratory
data
collected
interpreted
relation
or
absence
dysgeusia.
Results:
32.0%,
majority
cases
(44.2%)
occurring
Beta
predominantly
observed
mild
moderate
disease.
obesity
hypertension
shown
be
negatively
development
(OR
=
0.45,
OR
0.39,
respectively).
In
dysgeusia,
inflammatory
changes
such
lymphopenia
significantly
less
frequently
identified
0.22,
p
<
0.001),
increased
C-reactive
protein
0.12,
0.001)
interleukin-1
0.42,
0.002),
fibrinogen
0.31,
ferritin
0.27,
compared
without
acute
respiratory
failure
higher
group
(71.2%
vs.
28.8%,
0.001).
This
accompanied
by
milder
management
median
duration
hospitalization
that
two
days
shorter.
Conclusions:
appears
correlate
both
response
outcome.
context
evolving
viral
variants,
which
seem
lower
continuous
monitoring
who
develop
disorder
remains
essential
clarify
pathophysiologic
mechanisms
involved
assess
potential
predictor
course
infection.
Language: Английский