Görüntüleme
25
Objectives: Unnecessary use of antibiotics is one of the causes of antibiotic resistance. Rapid Antigen Test (RAT) is recommended to prevent unnecessary use of antibiotics by providing bacteria/virus isolation in patients with tonsillopharyngitis. However, in patients with typical symptoms, false-negative test results may lead to doubt in doctors. In this study, we aimed to evaluate the relationship between patients’ symptoms and RAT results. Methods: In this study, we chose the patients that referred to the University of Health Sciences (SBÜ) Şişli Hamidiye Etfal Training and Research Hospital Family Medicine Polyclinics and got a diagnosis of tonsillopharyngitis with RAT. This study was conducted by a retrospective file scanning method. We examined the age, sex, symptoms, RAT results and throat culture results of the patients. SPSS 15.0 for Windows program was used for the statistical analysis. The level of statistical significance was accepted as p<0.05. Results: In this study, the RAT of 265 patients and the throat culture of 141 patients were examined. We found RAT positivity as 28.7%, Group A Beta Hemolytic Streptococcus (AGBHS) detection rate in throat culture was 22.5%, and the antibiotic prescription rate was 37%. There were 32 patients with AGBHS positivity in throat culture. Twenty-seven of them got RAT positivity, too. When symptoms and RAT positivity were examined, there was no significant relationship between RAT positivity and fever higher than 38 oC, but RAT was more often positive in patients with a fever higher than 38 oC. On the other hand, there is a statistically significant relationship between RAT positivity and the presence of tonsillar exudate (p=0.000). When the relationship between symptoms and RAT according to age groups was examined, the presence of LAP and tonsillitis were significant (p=0.000; p=0.001). In the age group of 18 years and over, the presence of tonsillar exudates was significant (p=0.001). Conclusion: In our study, tonsillar exudate was a common symptom in both age groups of <18, and ≥18 years of age; at the same time, there is a statistically significant relation with RAT. Tonsillar exudates are not seen only in bacterial infections but also in viral infections. Thus, we think that antibiotics should not be started based on symptoms, and RAT should be used effectively.
Purpose: Unnecessary antibiotic use is one of the causes of antibiotic resistance.The fast antigen test (HAT) is recommended to prevent unnecessary antibiotic use by providing bacterial/viral distinction in patients with tonsillopharyngitis. But in patients with typical symptoms, false negative test results leave doctors uncertain. In our study, we aimed at assessing the relationship between the HAT result and the symptoms of patients. Method: The study was carried out with the retrospective file scan method; the patient's age, gender, symptoms, and the HAT results were studied if they were associated with the HAT results. SPSS 15.0 for Windows has been used for statistical analysis. The statistical significance level was considered p<0,05. Results: 265 patients had HAT and 141 patients had throat culture. HAT positive is 28.7%, the detection rate of beta hemolithic streptococcus (AGBHS) in the group A in the throat culture is 22.5%, while the prescription rate of antibiotics is 37%. HAT was also positive in 27 of 32 people with AGBHS culture positive (84.4 percent). When the HAT positive relationship with the symptoms was related; when no meaningful relationship between the presence of fever above 380C and the HAT positive was found; when the HAT positive patients were more accompanied by fever above 380C. In addition, there was a statistically meaningful relationship between the presence of tonsils in the exo and HAT positive (p=0,000). When the relationship between symptoms and HAT was studied according to age groups, the presence of LAP and the presence of tonsils in the exode in the under 18 year group found a significant relationship with HAT positive (p=0,000; p=0,001). In the age of 18 and older groups, the presence of tonsils in the exod has a significant relationship with HAT positivity (p=0,001). Result: In our study, tonsils are common symptoms in both the age groups under 18 and 18 years and older and have a statistically meaningful relationship with HAT. But tonsils are formed in the exo not only in bacterial infections, but also in viral infections. Therefore, we consider that antibiotics should not be started by deciding only on symptoms and HAT should be used more effectively. (SETB-2018-09-121)
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
Makale Detay 
Benzer Makaleler
PDF Görüntüle
Dergi Bilgisi
Eseri Dinleyin
Alıntı Yap
Bu Sayfayı Yazdırın
Paylaş
Mendeley
