Conclusion
Group A strep pharyngitis is very uncommon in children under 2 years of age, and possibly 3 years of age. Testing in these age groups is therefore probably not indicated in most circumstances. The incidence of true infection is similar to the carrier rate in this age group which implies that GAS is not a routine cause of pharyngitis/URI in this age group.
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ACEP Now: Vol 39 – No 08 – August 2020References
- Woods WA, Carter CT, Schlager TA. Detection of group A streptococci in children under 3 years of age with pharyngitis. Pediatr Emerg Care. 1999;15(5):338-340.
- Amir J, Shechter Y, Eilam N, et al. Group A beta-hemolytic streptococcal pharyngitis in children younger than 5 years. Isr J Med Sci. 1994;30(8):619-622.
- Nussinovitch M, Finkelstein Y, Amir J, et al. Group A beta-hemolytic streptococcal pharyngitis in preschool children aged 3 months to 5 years. Clin Pediatr (Phila). 1999;8(6):357-360.
- Bingler MA, Ellis D, Moritz ML. Acute post-streptococcal glomerulonephritis in a 14-month-old boy: why is this uncommon? Pediatric Nephrol. 2007;22(3):448-450.
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