title: Diagnostic accuracy of clinical symptoms and rapid diagnostic test in group A streptococcal perianal infections in children.
abstract: From 2009 to 2014, we prospectively enrolled 132 children with perianal infections. The presentation of painful defecation, anal fissures, and macroscopic blood in stools was highly suggestive of group A streptococcal perianal infection (probability 83.3%). We found a high sensitivity of a group A streptococcal rapid diagnostic testing (98%) but relatively low specificity (72.8%).
authors.affiliation: Association Clinique et Thérapeutique Infantile du Val de Marne, Saint-Maur des Fossés Clinical Research Center, Centre Hospitalier Intercommunal de Créteil Association Française de Pédiatrie Ambulatoire Unité Court Séjour, Petits Nourrissons, Service de Néonatologie, Centre Hospitalier Intercommunal de Créteil.
authors.forename: Robert
authors.initials: R
authors.lastname: Cohen
authors.affiliation: Association Clinique et Thérapeutique Infantile du Val de Marne, Saint-Maur des Fossés Clinical Research Center, Centre Hospitalier Intercommunal de Créteil Association Française de Pédiatrie Ambulatoire.
authors.forename: Corinne
authors.initials: C
authors.lastname: Levy
authors.affiliation: Université Paris Diderot, Sorbonne Paris Cité Service de Microbiologie, Hôpital Robert-Debré
authors.forename: Stéphane
authors.initials: S
authors.lastname: Bonacorsi
authors.affiliation: Association Clinique et Thérapeutique Infantile du Val de Marne, Saint-Maur des Fossés.
authors.forename: Alain
authors.initials: A
authors.lastname: Wollner
authors.affiliation: Association Clinique et Thérapeutique Infantile du Val de Marne, Saint-Maur des Fossés.
authors.forename: Marc
authors.initials: M
authors.lastname: Koskas
authors.affiliation: Clinical Research Center, Centre Hospitalier Intercommunal de Créteil.
authors.forename: Camille
authors.initials: C
authors.lastname: Jung
authors.affiliation: Association Clinique et Thérapeutique Infantile du Val de Marne, Saint-Maur des Fossés.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Béchet
authors.affiliation: Department of Pediatrics, Necker-Enfants-Malades Hospital, Assistance Publique-Hôpitaux de Paris, Université Paris Descartes INSERM U1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Center for Epidemiology and Biostatistics Sorbonne Paris Cité (CRESS), Paris Descartes University, France.
authors.forename: Martin
authors.initials: M
authors.lastname: Chalumeau
authors.affiliation: INSERM U1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Center for Epidemiology and Biostatistics Sorbonne Paris Cité (CRESS), Paris Descartes University, France.
authors.forename: Jérémie
authors.initials: J
authors.lastname: Cohen
authors.affiliation: Université Paris Diderot, Sorbonne Paris Cité Service de Microbiologie, Hôpital Robert-Debré
authors.forename: Philippe
authors.initials: P
authors.lastname: Bidet
mesh_terms: D000293:Adolescent; D001004:Anus Diseases / Q000175:diagnosis* / Q000382:microbiology*; D002648:Child; D002675:Child, Preschool; D015510:Clinical Medicine / Q000379:methods*; D003955:Diagnostic Tests, Routine / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D013997:Time Factors
keywords: children; group A streptococcal; perianal infection; rapid diagnostic test