Prevalence and risk factors of Streptococcus pyogenes among Children Aged 3-15 years at Nyimbwa Health Centre IV, Luwero District: A Cross-Sectional Study.

Authors

  • Jameo Nabwami Mildmay Institute of Health Sciences Author
  • Francisco Ssemuwemba Mildmay Institute of Health Sciences Author
  • Hasifa Nansereko Mildmay Institute of Health Sciences Author
  • Anthony Ssekitoleko Mildmay Institute of Health Sciences Author
  • Jane Frank Nalubega Mildmay Institute of Health Sciences Author
  • Immaculate Prosperia Naggulu Mildmay Institute of Health Sciences Author
  • Richard Miiro Mildmay Institute of Health Sciences Author

DOI:

https://doi.org/10.51168/mf1p4419

Keywords:

Streptococcus pyogenes, Group A Streptococcus, Acute pharyngitis, Strep throat, Children aged 3-15years, Nyimbwa Health Centre IV, Luwero District

Abstract

Background:

Acute pharyngitis is one of the diseases caused by S. pyogenes. The study aims to determine the prevalence of Streptococcus pyogenes, its associated clinical features, and contributing risk factors among children aged 3-15 years presenting with acute pharyngitis at Nyimbwa Health Centre IV in Luwero District.

 

Methodology:

The study was a descriptive cross-sectional study to determine the prevalence of S. pyogenes among children aged 3-15 years with acute pharyngitis and also identify associated risk factors of S. pyogenes among children aged 3-15 years with acute pharyngitis. The study was conducted from Nyimbwa Health Centre IV, which is a health Centre located in Nyimbwa County, Katikamu, Luwero District.  Participants were selected using a convenience sampling method.

 

Results:

143 children aged 3-15 years who attended Nyimbwa Health Centre IV in Luwero District during the period of study were recruited for the study. 143 children were examined for S. pyogenes; only 16 had positive culture results, and 127 had negative culture results. The results indicate that the prevalence of S. pyogenes among children aged 3-15 years is 11.2%. 91.6% (131/143) of the children who complained of a sore throat, 93.8% (15/16) had positive cultures for S. pyogenes. 44.1% (63/143) of the children had a cough, of which 31.3% (5/143) had positive cultures for S. pyogenes. Sex of the child, sharing of beddings, and contact with a person with S. pyogenes had no significant association with the prevalence of S. pyogenes.

 

Conclusion:

The results also linked classic clinical symptoms such as sore throat, fever, and inflamed tonsils to S. pyogenes positivity, strengthening the evidence for clinical diagnosis.

 

Recommendation:

Caregivers should adopt preventive home practices, including avoiding indoor smoking, reducing overcrowding, encouraging proper hygiene, and seeking prompt medical care whenever children develop a sore throat or fever.

Author Biographies

  • Jameo Nabwami, Mildmay Institute of Health Sciences

    is a student pursuing a Diploma in Medical Labaratory Technologist at Mildmay Institute of Health Sciences.

  • Francisco Ssemuwemba, Mildmay Institute of Health Sciences

    is a research supervisor at Mildmay Institute of Health Sciences.          

  • Hasifa Nansereko, Mildmay Institute of Health Sciences

    is a research supervisor at Mildmay Institute of Health Sciences.          

  • Anthony Ssekitoleko, Mildmay Institute of Health Sciences

    is a research supervisor at Mildmay Institute of Health Sciences.          

  • Jane Frank Nalubega, Mildmay Institute of Health Sciences

    is a research supervisor at Mildmay Institute of Health Sciences.          

References

1. Ahmed MI, Saunders RV, and Bandi, S. (2021). Group A streptococcal infections in children. Curr Pediatr Rev. 2021; 17:70-73. https://doi.org/10.2174/1573396316666200704152246

2. Anja A, Beyene G, Mariam S, and Daka Z (2019). Asymptomatic pharyngeal carriage rate of Streptococcus pyogenes, its associated factors, and antibiotic susceptibility pattern among schoolchildren in Hawassa town, southern Ethiopia. BMC Res. Notes. 2019: 12 (1), 564. https://doi.org/10.1186/s13104-019-4601-9

3. Barth DD, Moloi A, Mayosi BM, and Engel ME. (2020). Prevalence of group A streptococcal infection in Africa to inform GAS vaccines for rheumatic heart disease: a systematic review and meta-analysis. Int. J. Cardiol. 2020; 307, 200-208.https://doi.org/10.1016/j.ijcard.2019.11.109

4. Basha W, Sawafta R, Amjad F, Alameh W, Afnan A, and Montaser A (2024). Prevalence and Epidemiology of Group A B-Hemolytic Streptococcus (GABHS) Among Young School-Age Children with Tonsillopharyngitis in Northern Palestine: A Cross- Sectional Study. Research Square DOI: https://doi.org/10.21203/rs.3.rs-3216972/v1

5. Candan ED, Neslihan I, and Yousefi RA (2022). Factors Affecting the Incidence of Group A βHemolytic Streptococci Isolated from Throat Culture. Hacettepe J. Biol. & Chem. 2022, 50 (1), 25-30. https://doi.org/10.15671/hjbc.852492

6. Cinicola BL, Ilaria S, Pulvirenti F, Capponi M, Fabrizio L, Spalice A, Montalbano A, Macari A, Teresa MF, Giampietro GP, Buonsenso D, Zicari AM e Ronga T (2024). Group A Streptococcus infections in children and adolescents in the post-COVID-19 era: a regional Italian survey. Italian Journal of Pediatrics 2024; 50:177. https://doi.org/10.1186/s13052-024-01750-6

7. DeWyer, A., Scheel, A., Webel, A., Longenecker, C., Kamarembo, J., Aliku, T., Engel, M., Bowen, A., Bwanga, F., Hovis, I., Chang, A., Sarnacki, R., Sable, C., Dale, J., Carapetis, J., Rwebembera, J., Okello, E., Beaton, A., 2020. Prevalence of Group A β-hemolytic Streptococcal Throat Carriage and Prospective Pilot Surveillance of Streptococcal Sore Throat in Ugandan School Children. Int. J. Infect. Dis. 93. https://doi.org/10.1016/j.ijid.2020.01.013

8. Engel ME, Moloi HA, Abdullahi L, Nkepu SMuhamed B, Barth DD, Whitelaw A, Dale JB, and Mayosi BM. (2023). Prevalence of group A streptococcal carriage in school children from Cape Town: A cross-sectional study and systematic review S Afr Med J 2023;113(3b).

9. Gashaw Y, Getaneh A, Kasew D, Tigabie M, Gelaw B (2025). Streptococcus pyogenes carriage rate, associated factors, and antimicrobial susceptibility profiles among urban and rural schoolchildren at Gondar city, Northwest Ethiopia. Sci Rep. 2025 Jan 15;15(1):2057. doi: 10.1038/s41598-024-82009-2. PMID: 39814816; PMCID: PMC11735781.

https://doi.org/10.1038/s41598-024-82009-2

10. Girbo A, Jalo I, Elon I, Mohammed A, and Rasaki A. (2022). Prevalence and Clinical Presentation of Group A Streptococcal Pharyngitis in Children at a Tertiary Hospital in Gombe, North-East Nigeria. Jewel Journal of Medical Sciences. 2022; 3. 37-45. 10.56167/jjms.2022.0301.04.

11. Kate MM, Carapetis JR, Beneden CAV, Cadarette D, Daw JN, and Hannah CM (2022). The global burden of sore throat and group A Streptococcus pharyngitis: A systematic review and meta-analysis. eClinicalMedicine, 2022; Volume 48, 101458. https://doi.org/10.1016/j.eclinm.2022.101458

12. Kenyange R, Abonga E, Lwanga J, Ainomugusha M, and Muwanguzi E. (2024). Prevalence, Associated Factors, and Antibiogram of Streptococcal Upper Respiratory Tract Infections in Children Under 5 Years at Holy Innocents Children's Hospital, Mbarara City. Research Square 2024; 50:177. DOI: https://doi.org/10.21203/rs.3.rs-4736347/v1

13. Kebede D, Admas A. & Mekonnen D (2021). Prevalence and antibiotic susceptibility profiles of Streptococcus pyogenes among pediatric patients with acute pharyngitis at Felege. https://doi.org/10.21203/rs.3.rs-146458/v1

14. Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia. BMC Microbiol 21, 135 (2021). https://doi.org/10.1186/s12866-021-02196-0

15. Miller KM, Carapetis JR, Beneden CAV, Cadarette D, Daw N, Moore HC, Bloom DE, and Cannon JW (2022). The global burden of sore throat and group A Streptococcus pharyngitis: A systematic review and meta-analysis. E Clinical Medicine 2022;48: 101458.

https://doi.org/10.1016/j.eclinm.2022.101458

16. Mwaba C, Nakazwe R, Mpabalwani E, Lukwesa-Musyani C, Mwansa J, Chipeta J, (2020). Prevalence and antibiotic susceptibility of group A beta-haemolytic streptococcal isolates in children presenting with acute pharyngitis in Lusaka, Zambia. Afr J Child Health 2020; 14(2):99-103. https://doi.org/10.7196/SAJCH.2020.v14i2.1684.

17. Osowicki J, Azzopardi KI, Baker C, Waddington CS, Pandey M, and Schuster T (2019). Controlled human infection for vaccination against Streptococcus pyogenes (CHIVAS): establishing a group A Streptococcus pharyngitis human infection study. Vaccine. 2019;

https://doi.org/10.1016/j.vaccine.2019.03.059

18. Rahmadhany A, Advani N, Djer MM, Handryastuti S, and Safari D (2021). Prevalence and predicting factors of Group A beta-hemolytic Streptococcus carrier state in primary schoolchildren. Ann Pediatr Card 2021; 14:471-5. https://doi.org/10.4103/apc.apc_280_20

19. Reem, E.M; Ahmed, H.T; Mohammed, A.A; and Mohamed, H.A (2023) "Comparative study between radiofrequency ablation and endovenous laser ablation in the management of primary great saphenous varicose veins," Journal of Medicine in Scientific Research: Vol. 6: Iss. 4, Article 5. https://doi.org/10.59299/2537-0928.1022

20. Tadesse M, Yohanes H, Sirak B, Getachew F, and Baye G (2023). Prevalence, Antibiotic Susceptibility Profile and Associated Factors of Group A Streptococcal pharyngitis Among Pediatric Patients with Acute Pharyngitis in Gondar, Northwest Ethiopia. Infection and Drug Resistance 2023:16 1637-1648. https://doi.org/10.2147/IDR.S402292

Downloads

Published

2026-05-01

Issue

Section

Section of Pediatric Infectious Diseases

How to Cite

Prevalence and risk factors of Streptococcus pyogenes among Children Aged 3-15 years at Nyimbwa Health Centre IV, Luwero District: A Cross-Sectional Study. (J. Nabwami, F. Ssemuwemba, H. Nansereko, A. Ssekitoleko, J. F. Nalubega, I. P. Naggulu, & R. Miiro, Trans.). (2026). SJ Pediatrics and Child Health Africa, 3(2), 12. https://doi.org/10.51168/mf1p4419

Most read articles by the same author(s)

Similar Articles

31-40 of 46

You may also start an advanced similarity search for this article.