A strep throat: advice to parents from a pediatrician in pediatric emergencies in the face of the rise in cases

A strep throat: advice to parents from a pediatrician in pediatric emergencies in the face of the rise in cases

Éric Jeziorski, head of pediatric emergencies at Montpellier University Hospital, recalls that group A streptococci are “fairly common” tonsillitis germs, which rarely give rise to a severe infection. The hospital has so far recorded one serious case.

No panic: Eric Jeziorski, coordinator of pediatric emergencies at Montpellier University Hospital, invites parents to “not rush to the emergency room” if their child has angina.

Is Occitania on the front line in the appearance of serious cases of strep throat A, which arouses the vigilance of the health authorities?

We had, at the CHU of Montpellier, a case with an important form, it is the CHU of Toulouse which received the most serious cases. It’s quite rare, but not new. And the more cases there are, the more serious cases there are.

Parents of children with angina should not panic and come to the emergency room first. On the other hand, you must consult your attending physician, who can do the “triage” because he is equipped with rapid diagnostic orientation tests (TROD), used at the start to find out whether the angina is bacterial or viral, and whether or not to prescribe antibiotics. This is a test that takes a few minutes.

Between viruses and bacteria, an association of criminals

We remain in an unusual context with three deaths in France linked to this type of infection?

Group A streptococci are very common germs, they have always been around and cause all types of infections. Some are “meaner” than others, especially those that cause scarlet fever. For angina they are quite commonplace, but they can sometimes lead to severe infections. The particularity of the current period is the context of strong viral circulation, and these bacteria take advantage of this in what could be called a “criminal association” when the bacteria arrive in organisms weakened by viruses.

Read also :
Deadly streptococci A in children: how to spot the symptoms and make the right diagnosis

Finally, we are also in a context of tension on amoxicillin, the antibiotic prescribed in children who suffer from these anginas with bacterial infection.

Which children are in the most exposed age group?

It is considered that there are no cases in children under three years old. Before the age of three, angina is viral.

Why ?

This is an epidemiological finding, and it is assumed to be related to the development of tonsils in children.

On another front, what is the situation with the bronchiolitis epidemic, which required the Montpellier University Hospital to move to level 4 of the white plan?

We are on a high plateau, the situation should stabilize in the coming days.

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