General measures Observance of the general hygiene measures! In the occurrence of fever: Bed rest and physical rest (even with only a slight fever). Fever below 38.5 °C does not necessarily need to be treated! (Exceptions: Children prone to febrile convulsions; old, weakened people; patients with a weakened immune system). In case of fever from … Streptococcus: Therapy
Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used to prevent streptococcal infection in “acute rhinopharyngitis”. Vitamin C [1,2,3] In the context of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy of streptococcal infection in “inflammatory disease of the prostate (prostatitis)”. Zinc [4,5,6] … Streptococcus: Micronutrient Therapy
To prevent streptococcal infections, attention must be paid to reducing risk factors. Behavioral risk factors Inadequate hygiene Operations Tooth extractions (endocarditis prophylaxis if necessary).
In 20-36% of pregnant women, streptococci of serogroup B are found in the genital area.Normally, these bacteria are harmless. They are also found on the skin and in the intestines. However, they are also involved in many diseases, such as wound infections or pneumonias (lung infections). During birth, the bacteria can be transmitted from mother … Streptococcus: Streptococcal Infections during Pregnancy
The following conditions may indicate strep throat infection: Appendicitis (inflammation of the appendix). Endocarditis (meningitis of the heart) Erysipelas* (erysipelas) – purulent infection of the skin and subcutaneous tissue (subcutis), which in the predominant case is caused by ß-hemolytic group A streptococci (GAS (group A streptococci); Streptococcus pyogenes). Urinary tract infections Impetigo contagiosa* (contagious borky … Streptococcus: Symptoms, Complaints, Signs
Pathogenesis (development of disease) Streptococci are gram-positive bacteria arranged in a chain form that can be divided into several different subgroups. Among the most important subdivisions is the Lancefield classification, according to which bacteria are divided into serogroups based on a specific structure. In addition, there are bacteria that cannot be classified into these groups. … Streptococcus: Causes
Medical history (history of illness) represents an important component in the diagnosis of streptococcal infection. Family history What is the current health status of your family members? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). Have you noticed any skin, throat, ear, respiratory, kidney, urinary tract, or other infections on yourself? Vegetative anamnesis … Streptococcus: Medical History
Infectious and parasitic diseases (A00-B99). Infections with other pathogens such as bacteria, viruses, fungi, or protozoa.
The following are the most important diseases or complications that may be contributed to by streptococcal infections: Cardiovascular system (I00-I99). Acute rheumatic fever (ARF; β-hemolytic group A streptococci)-inflammatory rheumatic systemic disease of the skin, heart, joints, and brain; sequelae of infection with β-hemolytic group A streptococci; now rare after pharyngitis (pharyngitis) due to streptococcal age … Streptococcus: Secondary Diseases
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes, mouth, throat, and tongue [if scarlet fever is the cause: maculopapular (fine-spotted) exanthema (begins on neck and extends to extremities (hands and feet are left out); … Streptococcus: Examination
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Pathogen detection from the infected regions such as skin bacteriology, urine sample or throat swab. Streptococcal antibodies Antistreptolysin O (ASL) Anti-DNAse B (ASNB) Antihyaluronidase Small blood count Inflammatory parameters – CRP (C-reactive protein) or … Streptococcus: Test and Diagnosis
Therapeutic targets Elimination of the pathogens Avoidance of complications Therapy recommendations Antibiosis (note: antibiotic selection based on pathogen species and patient age). Means of first choice for Streptococcus pyogenes, ~ viridans, pneumococci: penicillin G + V. Means of first choice for Streptococcus agalacticae: penicillin G. See also under “Further therapy“. AntibioticsAntibiotics are drugs that are … Streptococcus: Drug Therapy
