title: An epidemiologic study of perianal dermatitis among children in Egypt.
abstract: Perianal dermatitis is a common problem occurring among infants and children. Streptococci, particularly beta-hemolytic group A organisms, play a major role in its causation. An epidemiologic association between perianal dermatitis caused by group A beta-hemolytic streptococci in some patients and pharyngeal colonization with the same organisms seems to exist. A similar relation is also true for other organisms, including non-group A beta-hemolytic streptococci and Staphylococcus aureus. This was the main conclusion of a hospital-based study performed on 150 children with perianal dermatitis. All patients were subjected to a questionnaire, clinical examination, two perianal swabs, and two throat swabs. The bacteriologic examination of the perianal swabs revealed the presence of beta-hemolytic streptococci in 35.3% of the cases, half of which were of the group A beta-hemolytic strain (17.3%) and half of which were non-group A (18%). Throat swabs revealed the presence of beta-hemolytic streptococci in 44% of cases, half of which were found to belong to group A (21.3%) and half to non-group A (22.7%). Among patients with perianal dermatitis caused by group A beta-hemolytic streptococci, 53.8% had associated pharyngeal colonization by the same organism. S. aureus was isolated from the perianal skin in five patients (3.4%); in four of whom the same organism also grew in cultures from throat swabs. A relatively good association between pharyngeal colonization by beta-hemolytic streptococci and Staphylococci and the presence of perianal dermatitis caused by the same organisms was demonstrated using the Kappa test of agreement (K = 0.4).
authors.affiliation: Department of Dermatology, Faculty of Medicine, Cairo University, Egypt.
authors.forename: W Z
authors.initials: WZ
authors.lastname: Mostafa
authors.forename: H H
authors.initials: HH
authors.lastname: Arnaout
authors.forename: M I
authors.initials: MI
authors.lastname: el-Lawindi
authors.forename: Y M
authors.initials: YM
authors.lastname: el-Abidin
mesh_terms: D001003:Anal Canal / Q000382:microbiology; D002175:Candida / Q000302:isolation & purification; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003872:Dermatitis / Q000453:epidemiology* / Q000382:microbiology; D004534:Egypt / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D010614:Pharynx / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013291:Streptococcus / Q000302:isolation & purification