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Streptococcal control in grade schools

H Jackson

    American Journal of Diseases of Children (1960)
    |March 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    School programs effectively reduced streptococcal infections. Daily throat culturing and monthly culturing with exclusion were most effective, while monthly culturing was most economical.

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    Area of Science:

    • Public Health
    • Infectious Disease Control
    • Epidemiology

    Background:

    • Streptococcal infections pose a significant public health concern in school settings.
    • Previous school-centered programs have shown potential in reducing streptococcal transmission.
    • A controlled study is needed to compare the effectiveness and cost of different school-based screening strategies.

    Purpose of the Study:

    • To evaluate the relative effectiveness of four distinct school-based streptococcal screening programs.
    • To assess the cost-effectiveness of each program in terms of resources and disruption.
    • To determine the impact of these programs on streptococcal prevalence and potentially rheumatic fever incidence.

    Main Methods:

    • A controlled study was conducted involving four different school streptococcal screening protocols.

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  • Protocols included daily throat culturing for symptomatic children, weekly screening with culturing, monthly mass culturing, and monthly mass culturing with exclusion of positive cases.
  • Effectiveness was measured by streptococcal prevalence reduction, and cost was assessed by volunteer time, classroom interruption, and financial expenditure.

    • Main Results:

    • Protocols 1 (daily culturing for symptomatic children) and 4 (monthly culturing with exclusion) demonstrated substantial reductions in streptococcal prevalence.
    • The monthly "all-student program" (Protocol 3) was found to be the most economical, minimizing volunteer time, classroom disruption, and costs.
    • A potential association was observed between the school culturing program and a decline in rheumatic fever within the county.

    Conclusions:

    • School-based streptococcal screening programs, particularly daily culturing for symptomatic cases and monthly culturing with exclusion, are effective in reducing infection rates.
    • The most economical screening approach, balancing effectiveness and resource utilization, is the monthly mass culturing program.
    • School-based streptococcal surveillance may play a role in mitigating the incidence of serious sequelae like rheumatic fever.