Burden of disease and barriers to the diagnosis and treatment of group a beta-hemolytic streptococcal pharyngitis for the prevention of rheumatic heart disease in Dar Es Salaam, Tanzania

Harvard Medical School, Cannon Society, Boston, MA 02115, USA.
The Pediatric Infectious Disease Journal (Impact Factor: 2.72). 12/2010; 29(12):1135-7. DOI: 10.1097/INF.0b013e3181edf475
Source: PubMed


To understand patient and clinician attitudes toward Streptococcus pharyngitis and rheumatic heart disease prevention in Tanzania, data from 3 sources were obtained: a survey of 119 clinicians, outpatient rapid test screening, and interviews with 17 rheumatic heart disease patients. Patients do not seek care for sore throat. Clinicians stated that identifying and treating Streptococcus pharyngitis is not prioritized.

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    • "Clinical scores helping to predict GAS infection had failed in the past,65 66 and systematic treatment of sore throat without bacteriological tests have to be advocated in sub-Saharan countries. A better understanding of reasons behind the difficulty of primary prevention has been recently carried out in Tanzania, emphasising the negligence of patients and also medical staff regarding the importance of consulting and treating sore throats.67 "
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