Analysis of knowledge about acute granular pharyngitis among Tiruchirapalli school children and their parents: connotation for preventing further complications

Rajesh Kanagaraj, Prabhusaran Nagarajan, Mohamed Marzuk Syed, Jesudoss Antony


Background: Identification and appropriate treatment for the streptococcal pharyngitis decreases the risk of acute rheumatic fever and rheumatic heart disease. By understanding the public perceptions and behaviors related to sore throat is considered as the fundamental for disseminating the health programs to control such diseases. The main objective of this study is to understand the epidemiology and microbiology of acute granular pharyngitis and its treatment in a tertiary care teaching hospital of South India.

Methods: This is a prospective and cross-sectional investigation performed by direct interview and written surveys. In this study, school students and their parents were interviewed about the history of sore throats in the last 12 months and treatment received. A focused history and physical examination to detect pharyngitis was conducted and children were referred for follow-up as indicated.  

Results: A total of 1550 and 1450 students from 13 and 14 schools participated in the study respectively, along with their parents. Three hundred and thirty six (21.6%) parents reported their child had at least one episode of sore throat in the previous year, and 326 (21%) of students reported at least one sore throat in the same time period.

Conclusions: Girls were reported to have high level of pharyngitis than boys. Parents have variable knowledge about the frequency of sore throat in their children and its management. These results provide insight into current perceptions and practices related to sore throat and will be used to design public awareness activities aimed at reducing the future risks.


Pharyngitis, Children, Cross-sectional study

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Delbridge L, Guinea AI, Reeves TS. Total thyroidectomy for benign multinodular goiter. Arch Surg. 1999;134:1389-93.

Bergamaschi R, Becouarn G, Ronceray J, Arnaud JP. Morbidity of thyroid surgery. Am J Surg. 1998;176(1):71-5.

Dralle H, Sekulla C, Haerting J, Timmermann W, Neumann HJ, Kruse E, et al. Risk factors of paralysis and functional outcome after recurrent laryngeal nerve monitoring in thyroid surgery. Surgery. 2004;136(6):1310-22.

Rice DH, Cone-Wesson B. Intraoperative recurrent laryngeal nerve monitoring. Otolaryngol Head Neck Surg. 1991;105(3):372-5.

Marcus B, Edwards B, Yoo S, Byrne A, Gupta A, Kandrevas J, et al. Recurrent laryngeal nerve monitoring in thyroid and parathyroid surgery: the University of Michigan experience. Laryngoscope. 2003;113(2):356-61.

Sturniolo G, D’Alia C, Tonante A, Gagliano E, Taranto F, Schiavo MGL. The recurrent laryngeal nerve related to thyroid surgery. Am J Surg. 1999;177(6):485-8.

Shindo ML, Wu JC, Park EE. Surgical anatomy of the recurrent laryngeal nerve revisited. Otolaryngol Head Neck Surg. 2005;133(4):514-9.

Chiang FY, Wang LF, Huang YF, Lee KW, Kuo WR. Recurrent laryngeal nerve palsy after thyroidectomy with routine identification of the recurrent laryngeal nerve. Surgery. 2005;137(3):342-7.

Nour AM, Al-Momen AHA. Prevention of recurrent laryngeal nerve injury in thyroid surgery: are neuromonitoring techniques needed? East Central Afr J Surg. 2011;16(1):1-9.

Echternach M, Maurer CA, Mencke T, Schilling M, Verse T, Richter B. Laryngeal complications after thyroidectomy: is it always the surgeon? Arch Surg. 2009;144(2):149-53.

Bailleux S, Bozec A, Castillo L, Santini J. Thyroid surgery and recurrent laryngeal nerve monitoring. J Laryngol Otol. 2006;120(7):566-9.

Shindo ML. Considerations in surgery of the thyroid gland. Otolaryngol Clin North Am. 1996;29:629-35.

Randolph GW, Kobler JB, Wilkins J. Recurrent laryngeal nerve identification and assessment during thyroid surgery: laryngeal palpation. World J Surg. 2004;28(8):755-60.

Shindo M, Chheda NN. Incidence of vocal cord paralysis with and without recurrent laryngeal nerve monitoring during thyroidectomy. Arch Otolaryngol Head Neck Surg. 2007;133:481-5.

Barczyński M, Konturek A, Cichoń S. Randomized clinical trial of visualization versus neuromonitoring of recurrent laryngeal nerves during thyroidectomy. Br J Surg. 2009;96(3):240-6.

Hermann M, Alk G, Roka R, Glaser K, Freissmuth M. Laryngeal recurrent nerve injury in surgery for benign thyroid diseases. Ann Surg. 2002;235(2):261-8.

Beldi G, Kinsbergen T, Schlumph R. Evaluation of intraoperative recurrent nerve monitoring in thyroid surgery. World J Surg. 2004;28:589-91.

Al-Fakhri N, Schwartz A, Runkel N, Buhr HJ. Rate of complications with systematic exposure of the recurrent laryngeal nerve and parathyroid glands in operations for benign thyroid gland diseases. Zentralbl Chir. 1998;123(1):21-4.

Nair CG, Babu MJ, Menon R, Jacob P. Hypocalcaemia following total thyroidectomy: an analysis of 806 patients. Indian J Endocr Metab. 2013;17:298-303.

Delbridge L, Reeve TS, Khadra M, Poole AG. Total thyoidectomy: the technique of capsular dissection. Austr N Z J Surg. 1992;62(2):96-9.