Evidence map›Paper›PMID 41101768›Full record

ArticleTropical medicine & international health : TM & IH2026

Prevalence of Group A Streptococcal Pharyngitis and Antibiotic Susceptibility in Paediatric Patients With Sore Throats in Gaborone, Botswana.

Julius Chacha Mwita, Souda Sajini, Kélin Engel, Tichaona Bernard Machiya, Mark E Engel

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Article in Tropical medicine & international health : TM & IH, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Julius Chacha MwitaDepartment of Internal Medicine, University of Botswana, Gaborone, Botswana.
Souda SajiniDepartment of Pathology, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
Kélin EngelDepartment of Medicine, Faculty of Health Sciences, Cape Heart Institute, University of Cape Town, Cape Town, South Africa.
Tichaona Bernard MachiyaDepartment of Laboratory Services, Princess Marina Hospital, Gaborone, Botswana.
Mark E EngelDepartment of Medicine, Faculty of Health Sciences, Cape Heart Institute, University of Cape Town, Cape Town, South Africa.

Funding

University of Botswana
6 · The paper itself

Abstract

backgroundGroup A β-haemolytic Streptococcus, also known as Streptococcus pyogenes, commonly causes childhood pharyngitis and can lead to severe complications like acute rheumatic fever and rheumatic heart disease. Timely penicillin treatment is vital in preventing these issues. However, data on the prevalence of Group A β-haemolytic Streptococcus pharyngitis in Botswana are limited, and there is no national surveillance for Group A β-haemolytic Streptococcus infections.

objectivesThis study aimed to determine the prevalence of Group A β-haemolytic Streptococcus pharyngitis among children aged 8 and 18 years presenting with sore throats in selected Gaborone clinics and assess the antibiotic sensitivity patterns of Group A β-haemolytic Streptococcus isolates.

methodsA cross-sectional study was conducted among children aged 8-18 years suspected of pharyngitis at Nkoyaphiri and Mafitlhakgosi clinics in Gaborone. Participants were selected based on a modified Centor score of 2 or higher. Throat swabs were processed for culture, identification, and antibiotic sensitivity testing.

resultsThe prevalence of Group A β-haemolytic Streptococcus pharyngitis was 7.5% (24/322; 95% CI: 0.50%-0.11%). The mean age of the participants was approximately 12 years. Group A β-haemolytic Streptococcus isolates remained fully susceptible to penicillin, the treatment of choice, but concerns about macrolide resistance were observed in some strains.

conclusionsGroup A streptococcal pharyngitis was found in 7.5% of children with sore throats in Gaborone, Botswana. All Group A β-haemolytic Streptococcus strains were susceptible to penicillin, affirming its continued use as the preferred treatment. These results emphasize the need for accurate diagnosis and targeted antibiotic therapy to prevent complications like acute rheumatic fever and rheumatic heart disease.

Indexed as

Anti-Bacterial AgentsPharyngitisStreptococcal InfectionsStreptococcus pyogenesAdolescentBotswanaChildCross-Sectional StudiesDrug Resistance, BacterialFemaleHumansMaleMicrobial Sensitivity TestsPrevalenceAnti-Bacterial Agentsantibiotic sensitivitygroup a β‐haemolytic streptococcuspharyngitisprevalenceStreptococcus pyogenes

Identifiers

PMID41101768
PMCPMC12868392

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.