The prevalence of beta-haemolytic streptococci in throat specimens from healthy children and adults: Implications for the clinical value of throat cultures

Abstract

Objective-To examine the influence of age and season of the year on the carrier rate of beta-haemolytic streptococci (BHS) in healthy individuals and patients with throat pain.

Design-The prevalence of BHS in throat specimens from healthy individuals was compared with that from patients with throat pain of the same age in a defined geographical area, collected during the same mid-winter and late summer periods.

Results-The prevalence of BHS in healthy individuals was low before the age of 3 years (1.9–7.1%) and in adults ≥16 years (2.4–3.7%) and highest in the age group 3–15 years (5.0–21.2%). The difference in prevalence of BHS between healthy individuals and patients with throat pain was small during the late summer season and large during the mid-winter season.

Conclusion-Prevalence of BHS varies with age and season in healthy individuals and patients with throat pain. During the summer, it is much more difficult to interpret the result of a throat culture in individuals aged <16 years.

Key Words:

• streptococcal infections microbiology
• streptococcal infections diagnosis
• Streptococcus pyogenes isolation and purification
• child day care centres
• throat culture