On the Early Detection of Streptococcal Tonsillopharyngitis in Children

Urgency of the problem of diagnosis and treatment for acute tonsillopharyngitis is due to their considerable prevalence among children population (12 to 17 %). Inadequate treated acute tonsillopharyngitis, especially caused by group A beta-hemolytic streptococcus, determine the development of life-threatening conditions and chronization of the process. Thus, the objective of the work was to study the diagnostic value of general clinical and paraclinical indicators in verification of acute streptococcal tonsillopharyngitis in children to optimize the initial etiotropic treatment and to prevent polypragmasy. Two clinical groups were formed: I group consisted of 10 children with a diagnosis of acute streptococcal tonsillopharyngitis, II clinical group included 16 patients with acute tonsillopharyngitis of non-streptococcal origin. The studies found that at the stage of early detection of acute streptococcal tonsillopharyngitis in children the following clinical-paraclinical complex can be used: total score by McIsaac’s scale above 4, level of segmental leukocytes in the blood more than 50.0 %, indices of stimulated test with nitroblue tetrazolium (NBT) of neutrophilic granulocytes in the blood by cytochemical coefficient below 0.5 c.u., reserve of NBT-test less than 0,15 c.u., which increases the risk of disease detection by four times