Ketepatan Skoring McIsaac untuk Mengidentifikasi Faringitis Group A Streptococcus pada Anak

Damayanti, Emalia; Iriani, Yulia; Yuwono, Yuwono

doi:10.14238/sp15.5.2014.301-6

Cited by 1 publication

(2 citation statements)

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“…The average age of those with chronic tonsillitis was 18 years in the group with positive bacterial growth and 12 years in the group with negative culture, according to the study's responder characteristics. According to the size of the tonsils, it was discovered that the T3 size tonsils had the most responders (24), followed by the T2 tonsils (six), and the T4 size tonsils (five). Based on the size of the tonsils, it was found that the tonsils of T3 were the most with 24 respondents, followed by the T2 tonsils with 6 respondents and the T4 size was the lowest, namely 5 respondents.…”

Section: Resultsmentioning

confidence: 99%

“…Research conducted in various locations will provide various demographic traits. 24 The research also discovered that there were substantial changes in tonsillitis-causing microorganism types according to age, suggesting that variations in tonsil microorganism types may result from various antibiotics used in the clinical environment. As a result, it's critical to regularly check the tonsils for bacteria using accurate diagnostics, and the bacteriology of the tonsillar core may vary as people age.…”

Section: Discussionmentioning

confidence: 96%

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Conformance of Mc Isaac Modification of Centor Score with Microorganisms of Tonsil Core Tissue in Chronic Tonsillitis Patients

Karnita,

Safarianti,

Setiani

et al. 2023

Advances in Health Sciences Research

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Background: A viral, bacterial, or fungal infection may cause tonsillitis, which is an inflammation of the palatine tonsils. The McIsaac modified Centor score, which differs from the original Centor score in that it only applied to patients who were at least 15 years old, is a tool for predicting tonsillitis brought on by group A -hemolytic Streptococcus. Because the McIssaac modified Centor score adjusts by age, it may be used on both children and adults. Objective:To identify whether patients with chronic tonsillitis are suitable candidates for the modified McIsaac Centor score when tonsil core bacteria are present.. Method:a cross sectional research that combines descriptive analysis with analysis. Patients with chronic tonsillitis after tonsillectomy participated in the trial from June 2020 to June 2021 at the ORL-HNS outpatient clinic of RSUDZA. Using the SPSS application, all data were entered, coded, and analyzed using Chi-square statistics and a kappa test with a 95% confidence level. Kappa value > 0,8 -1 is seen to indicate very high compliance, whereas kappa value 0,2 is thought to indicate very poor conformance. Results:The research covered 35 patients in total. There were more women overall (28.6%), those aged 15 to 44 made up the largest age group (41.3%), and T3 tonsils made up the majority (38%). The most prevalent germs were Staphylococcus aureus (59.4%). Levofloxacin, linezolid, gentamicin, and ciprofloxacin had the greatest antibiotic sensitivity tests results for gram positive bacteria, whereas levofloxacin, meropenem, ceftazidime, gentamicin, and amikacin had the highest results for gram negative bacteria. With 100% sensitivity, 79.41% specificity, 12.5% positive predictive value, 100% negative predictive value, and 80% accuracy value, a score of 4 was determined to be the best cut-off point. Based on a Kappa value of 0.181 [CI95% (-0.13) -0.492] and a p value of 0.062, the McIsaac modified Centor score was 18.1% congruent with the outcomes of the tonsillar core microorganism culture. Conclusion: In individuals with chronic tonsillitis, there was very little agreement between the McIsaac modified Centor score and the bacterium in the tonsil core culture.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 96%