{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:05:39Z","timestamp":1785416739583,"version":"3.56.0"},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"19","license":[{"start":{"date-parts":[[2025,5,11]],"date-time":"2025-05-11T00:00:00Z","timestamp":1746921600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,5,11]]},"abstract":"\n Bevezet\u00e9s \u00e9s c\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n Az A-csoport\u00fa\n Streptococcus<\/jats:italic>\n okozta infekci\u00f3k sz\u00e1ma 2022 \u00f3ta Eur\u00f3pa sz\u00e1mos\n orsz\u00e1g\u00e1ban jelent\u0151sen megemelkedett. A magas esetsz\u00e1mokon t\u00fal a progredi\u00e1l\u00f3,\n s\u00falyos lefoly\u00e1s\u00fa, invaz\u00edv esetek ar\u00e1nyn\u00f6veked\u00e9se aggaszt\u00f3 probl\u00e9mak\u00e9nt jelent\n meg. Kutat\u00e1sunk c\u00e9lja a hazai\n Streptococcus pyogenes<\/jats:italic>\n j\u00e1rv\u00e1ny\n jellemz\u0151inek bemutat\u00e1sa a gyermek-alapell\u00e1t\u00e1sban, egy orsz\u00e1gos reprezent\u00e1ci\u00f3j\u00fa\n gyermekpopul\u00e1ci\u00f3ban v\u00e9gzett adatgy\u0171jt\u00e9s alapj\u00e1n.\n M\u00f3dszer:<\/jats:italic>\n 21\n t\u00e9telb\u0151l \u00e1ll\u00f3, struktur\u00e1lt k\u00e9rd\u0151\u00edvet k\u00fcldt\u00fcnk ki a h\u00e1zi gyermekorvosi h\u00e1l\u00f3zat\n platformj\u00e1n 2024 m\u00e1jus\u00e1ban orsz\u00e1gszerte, gyermekorvosi praxisban dolgoz\u00f3 orvosok\n sz\u00e1m\u00e1ra. A k\u00e9rd\u0151\u00edv retrospekt\u00edv jelleggel, a 2023. janu\u00e1r 1. \u00e9s december 31.\n k\u00f6z\u00f6tt azonos\u00edtott streptococcalis k\u00f3rk\u00e9pek val\u00f3s diagnosztikai \u00e9s kezel\u00e9si\n strat\u00e9gi\u00e1it m\u00e9rte fel.\n Eredm\u00e9nyek:<\/jats:italic>\n \u00d6sszesen 72 gyermekorvosi\n praxisban ell\u00e1tott 71\u00a0600 f\u0151s gyermekpopul\u00e1ci\u00f3ra vonatkoz\u00f3 adatok alapj\u00e1n, a\n vizsg\u00e1lt gyermekek 8,5%-\u00e1ban (95% konfidenciaintervallum: 7,1\u20139,9%)\n diagnosztiz\u00e1ltak tonsillitist \u00e9s\/vagy skarl\u00e1tot (n = 6110), ezen bel\u00fcl a\n fert\u0151z\u00f6ttek negyede (2,1%; 95% konfidenciaintervallum: 1,74\u20132,46%) mutatta a\n skarl\u00e1t t\u00fcneteit (n = 1515). A betegek 83%-a az 5\u201310 \u00e9ves koroszt\u00e1lyb\u00f3l ker\u00fclt\n ki. A p\u00e1ciensek 0,6%-\u00e1n\u00e1l alakult ki peritonsillaris t\u00e1lyog (41 eset), 9\n gyermekn\u00e9l diagnosztiz\u00e1ltak invaz\u00edv megbeteged\u00e9st, 2 gyermekn\u00e9l jelentkezett\n poststreptococcalis glomerulonephritis, m\u00edg reinfekci\u00f3t \u00e1tlagosan 15%-ban\n \u00e9szleltek. A gyan\u00fas esetek k\u00f6zel fel\u00e9n\u00e9l (47%) t\u00f6rt\u00e9nt diagnosztikus\n mikrobiol\u00f3giai vizsg\u00e1lat. A ter\u00e1pia kapcs\u00e1n a leggyakrabban haszn\u00e1lt\n antibiotikum az amoxicillin-klavul\u00e1nsav volt (41%), azonban a sz\u0171kebb spektrum\u00fa\n b\u00e9ta-lakt\u00e1mok (penicillin, amoxicillin, cefprozil) egy\u00fcttes alkalmaz\u00e1sa el\u00e9rte\n az 50%-ot. Makrolidot 6%-ban, cefiximet 3%-ban alkalmaztak a gyermekorvosok.\n Megbesz\u00e9l\u00e9s:<\/jats:italic>\n Az invaz\u00edv\n S. pyogenes<\/jats:italic>\n betegs\u00e9g korai, rendel\u0151ben t\u00f6rt\u00e9n\u0151 diagn\u00f3zis\u00e1nak \u00e9s az adekv\u00e1t\n antibiotikumv\u00e1laszt\u00e1snak meghat\u00e1roz\u00f3 szerepe van mind a kimenetel, mind az\n antibiotikumrezisztencia alakul\u00e1sa szempontj\u00e1b\u00f3l. Eredm\u00e9nyeink alapj\u00e1n a\n gyorstesztel\u00e9s nagyobb ar\u00e1ny\u00fa alkalmaz\u00e1sa \u00e9s igazolt esetben a korai, sz\u0171k\n spektrum\u00fa antibiotikumkezel\u00e9s propag\u00e1l\u00e1sa szorgalmazand\u00f3.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n K\u00f6zlem\u00e9ny\u00fcnk visszajelz\u00e9sk\u00e9nt szolg\u00e1l az\n alapell\u00e1t\u00e1s sz\u00e1m\u00e1ra az\n S. pyogenes<\/jats:italic>\n j\u00e1rv\u00e1ny diagnosztikus \u00e9s\n ter\u00e1pi\u00e1s gyakorlat\u00e1r\u00f3l, hangs\u00falyozza az adekv\u00e1t antibiotikumv\u00e1laszt\u00e1s \u00e9s az\n id\u0151ben felismert invaz\u00edv infekci\u00f3k jelent\u0151s\u00e9g\u00e9t. Orv Hetil. 2025; 166(19):\n 719\u2013727.\n <\/jats:p>","DOI":"10.1556\/650.2025.33297","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T04:49:14Z","timestamp":1747025354000},"page":"719-727","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["A hazai A-csoport\u00fa Streptococcus (GAS-) j\u00e1rv\u00e1ny jellemz\u0151i a gyermek-alapell\u00e1t\u00e1sban 2023-ban"],"prefix":"10.1556","volume":"166","author":[{"given":"\u00c9va","family":"Kar\u00e1szi","sequence":"first","affiliation":[{"name":"Budapest F\u0151v\u00e1ros XXII. ker\u00fclet Budafok-T\u00e9t\u00e9ny \u00d6nkorm\u00e1nyzata, 3. sz. h\u00e1zi gyermekorvosi k\u00f6rzet Budapest, K\u00e1ldor Adolf u. 5\u20139., 1221 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csaba","family":"Kassa","sequence":"additional","affiliation":[{"name":"D\u00e9l-pesti Centrumk\u00f3rh\u00e1z \u2013 Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent L\u00e1szl\u00f3 K\u00f3rh\u00e1z Telephely, Gyermekhematol\u00f3giai \u00e9s \u0150ssejt-transzplant\u00e1ci\u00f3s Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinga","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"Nemzeti N\u00e9peg\u00e9szs\u00e9g\u00fcgyi \u00e9s Gy\u00f3gyszer\u00e9szeti K\u00f6zpont, Bakteriol\u00f3giai, Mikol\u00f3giai \u00e9s Parazitol\u00f3giai Laborat\u00f3riumi Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Be\u00e1ta","family":"Onoz\u00f3","sequence":"additional","affiliation":[{"name":"Miskolc Megyei Jog\u00fa V\u00e1ros \u00d6nkorm\u00e1nyzata, 32. sz. h\u00e1zi gyermekorvosi k\u00f6rzet Miskolc Magyarorsz\u00e1g"},{"name":"Borsod-Aba\u00faj-Zempl\u00e9n V\u00e1rmegyei K\u00f6zponti K\u00f3rh\u00e1z, Velkey L\u00e1szl\u00f3 Gyermekeg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont Miskolc Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajna","family":"Erlaky","sequence":"additional","affiliation":[{"name":"Budapest F\u0151v\u00e1ros XII. ker\u00fclet Hegyvid\u00e9ki \u00d6nkorm\u00e1nyzat, 7. sz. h\u00e1zi gyermekorvosi k\u00f6rzet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Botond","family":"Lakatos","sequence":"additional","affiliation":[{"name":"D\u00e9l-pesti Centrumk\u00f3rh\u00e1z \u2013 Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent L\u00e1szl\u00f3 K\u00f3rh\u00e1z Telephely, Infektol\u00f3giai Oszt\u00e1ly Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati \u00e9s Hematol\u00f3giai Klinika, Infektol\u00f3giai Tansz\u00e9ki Csoport Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Carapetis JR, Steer AC, Mulholland EK, et al. The global burden of\n group A streptococcal diseases. Lancet Infect Dis. 2005; 5:\n 685\u2013694.","DOI":"10.1016\/S1473-3099(05)70267-X"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Bloom DE, Titball RW, Carapetis J. Strep A: challenges,\n opportunities, vaccine-based solutions, and economics. NPJ Vaccines 2024; 9:\n 81.","DOI":"10.1038\/s41541-024-00864-6"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Barnett TC, Bowen AC, Carapetis JR. The fall and rise of group A\n Streptococcus diseases. Epidemiol Infect. 2018; 147:\n e4.","DOI":"10.1017\/S0950268818002285"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Lamagni T, Guy R, Chand M, et al. Resurgence of scarlet fever in\n England, 2014\u201316: a population-based surveillance study. Lancet Infect Dis.\n 2018; 18: 180\u2013187.","DOI":"10.1016\/S1473-3099(17)30693-X"},{"key":"R5","unstructured":"GOV.UK. Group A streptococcal infections: fifth update on seasonal\n activity in England, 2023 to 2024. Updated: 25 July 2024. Available from:\n https:\/\/www.gov.uk\/government\/publications\/group-a-streptococcal-infections-report-on-seasonal-activity-in-england-2023-to-2024\/group-a-streptococcal-infections-fifth-update-on-seasonal-activity-in-england-2023-to-2024\n [accessed: February 25, 2025]."},{"key":"R6","unstructured":"European Centre for Disease Prevention and Control. Increase in\n invasive group A streptococcal infections among children in Europe, including\n fatalities. Available from:\n https:\/\/www.ecdc.europa.eu\/en\/news-events\/increase-invasive-group-streptococcal-infections-among-children-europe-including\n [accessed: February 25, 2025]."},{"key":"R7","unstructured":"World Health Organization. Increased incidence of scarlet fever and\n invasive group A Streptococcus infection \u2013 multi-country. 15\n December 2022. 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Euro Surveill.\n 2023; 28: 2200941.","DOI":"10.2807\/1560-7917.ES.2023.28.1.2200941"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Lassoued Y, Assad Z, Ouldali N, et al. Unexpected increase in\n invasive group A streptococcal infections in children after respiratory viruses\n outbreak in France: a 15-year time-series analysis. Open Forum Infect Dis. 2023;\n 10: ofad188.","DOI":"10.1093\/ofid\/ofad188"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Vieira A, Wan Y, Ryan Y, et al. Rapid expansion and international\n spread of M1UK in the post-pandemic UK upsurge of\n Streptococcus pyogenes. Nat Commun. 2024; 15:\n 3916.","DOI":"10.1038\/s41467-024-47929-7"},{"key":"R16","unstructured":"Hungarian National Center for Public Health and Pharmacy. Epidemics.\n Infectious diseases. Yearly reports. [Nemzeti N\u00e9peg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont. 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Accumulation of severe\n Streptococcus pyogenes infections among children admitted\n to the pediatric department of a county hospital. [Streptococcus\n pyogenes okozta s\u00falyos fert\u0151z\u00e9sek halmoz\u00f3d\u00e1sa egy k\u00f3rh\u00e1zi\n gyermekoszt\u00e1lyra felvett betegek k\u00f6z\u00f6tt.] Orv Hetil. 2025; 166:\n 154\u2013159.","DOI":"10.1556\/650.2025.33204"},{"key":"R19","unstructured":"Kar\u00e1szi \u00c9, Kov\u00e1cs \u00c1, Altorjai P, et al. Recognition and treatment of\n group A Streptococcus infections. [Az A csoport\u00fa\n Streptococcus (GAS) infekci\u00f3k felismer\u00e9se \u00e9s kezel\u00e9se.] A\n Magyar Gyermekorvosok T\u00e1rsas\u00e1ga \u00e9s a H\u00e1zi Gyermekorvosok Egyes\u00fclete H\u00e1zi\n Gyermekorvosi Szekci\u00f3j\u00e1nak szakmai javaslata alapell\u00e1t\u00f3 gyermekorvosok \/\n h\u00e1ziorvosok r\u00e9sz\u00e9re. 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[A mikrobiol\u00f3giai vizsg\u00e1latok szerepe a\n peritonsillaris t\u00e1lyog kezel\u00e9s\u00e9ben hat \u00e9v anyag\u00e1nak retrospekt\u00edv elemz\u00e9se\n alapj\u00e1n.] Orv Hetil. 2020; 161: 1877\u20131883. [Hungarian]","DOI":"10.1556\/650.2020.31843"},{"key":"R26","doi-asserted-by":"crossref","unstructured":"Tak\u00e1cs A, Sz\u0171cs D, Terhes G. Exudative tonsillitis in children. How\n can we reduce the unnecessary antibiotic consumption? [Leped\u00e9kes tonsilla\n gyermekkorban. Hogyan cs\u00f6kkenthet\u0151 az indokolatlan antibiotikumfelhaszn\u00e1l\u00e1s?]\n Orv Hetil. 2020; 161: 50\u201355. [Hungarian]","DOI":"10.1556\/650.2020.31618"},{"key":"R27","doi-asserted-by":"crossref","unstructured":"Ramgopal S, Rosenman M, Zhang L, et al. Alternative antibiotic\n selections during the 2022 amoxicillin shortage in the United States. J\n Pediatric Infect Dis Soc. 2025; 14: piae122.","DOI":"10.1093\/jpids\/piae122"},{"key":"R28","unstructured":"Lakatos B, Kassa Cs, Kulcs\u00e1r A, et al. Resolution of the Hungarian\n Society of Infectology and Clinical Microbiology regarding the temporary\n nationwide shortage of amoxicillin and ampicillin supply. [A Magyar\n Infektol\u00f3giai \u00e9s Klinikai Mikrobiol\u00f3giai T\u00e1rsas\u00e1g szakmai \u00e1ll\u00e1sfoglal\u00e1sa az\n amoxicillin \u00e9s ampicillin \u00e1tmeneti orsz\u00e1gos ell\u00e1t\u00e1si hi\u00e1nya kapcs\u00e1n.] Available\n from: https:\/\/infektologia.hu\/hirek.aspx?nid=117767 [accessed:\n February 25, 2024]. [Hungarian]"},{"key":"R29","unstructured":"National Bacteriological Surveillance 2023: Streptococcus\n pyogenes and Streptococcus agalactiae. [Nemzeti\n Bakteriol\u00f3giai Surveillance 2023: Streptococcus pyogenes \u00e9s\n Streptococcus agalactiae.] Nemzeti N\u00e9peg\u00e9szs\u00e9g\u00fcgyi \u00e9s\n Gy\u00f3gyszer\u00e9szeti K\u00f6zpont N\u00e9peg\u00e9szs\u00e9g\u00fcgy. Available from:\n https:\/\/www.nnk.gov.hu\/index.php\/mikrobiologi\/nemzeti-bakteriologiai-surveillance-nbs\/category\/393-streptococcus-pyogenes-es-streptococcus-agalactiae.html\n [accessed: February 25, 2024] [Hungarian]."},{"key":"R30","unstructured":"Active Bacterial Core surveillance (ABCs). Group A\n Streptococcus \u2013 antibiotic resistance. Available from:\n https:\/\/www.cdc.gov\/abcs\/bact-facts\/data-dashboard.html?CDC_AAref_Val=https:\/\/www.cdc.gov\/abcs\/bact-facts-interactive-dashboard.html\n [accessed: February 25, 2024]."},{"key":"R31","doi-asserted-by":"crossref","unstructured":"Schwartz RH, Kim D, Martin M, et al. A reappraisal of the minimum\n duration of antibiotic treatment before approval of return to school for\n children with streptococcal pharyngitis. Pediatr Infect Dis J. 2015; 34:\n 1302\u20131304.","DOI":"10.1097\/INF.0000000000000883"},{"key":"R32","unstructured":"GOV.UK. Invasive group A streptococcal disease: managing close\n contacts in community settings Available from:\n https:\/\/www.gov.uk\/government\/publications\/invasive-group-a-streptococcal-disease-managing-community-contacts\n [accessed: February 25, 2025]."}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/19\/article-p719.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/19\/article-p719.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/19\/article-p719.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:55:33Z","timestamp":1785416133000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/19\/article-p719.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,11]]},"references-count":32,"journal-issue":{"issue":"19"},"URL":"https:\/\/doi.org\/10.1556\/650.2025.33297","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,11]]}}}