THE CONTROL OF STREPTOCOCCAL SKIN INFECTIONS IN SOUTH TRINIDAD

The effect of various treatment regimens on epidemiologic aspects of skin infections was assessed in South Trinidad where acute glomerulonephritis is associated with these infections. Weekly examinations and cultures revealed marked variation in the incidence of skin lesions in untreated children du...

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Bibliographic Details
Published in:American journal of epidemiology 1974-06, Vol.99 (6), p.408-413
Main Authors: SHARRETT, A. RICHEY, FINKLEA, JOHN F., POTTER, ELIZABETH V., POON-KING, THEO, EARLE, DAVID P.
Format: Article
Language:English
Subjects:
Acute Disease
benzathine
Child
Child, Preschool
Female
glomerulonephritis
Glomerulonephritis - complications
hexachlorophene
Hexachlorophene - therapeutic use
Humans
Injections, Intramuscular
Male
penicillin G
Penicillin G Benzathine - administration & dosage
Penicillin G Benzathine - therapeutic use
skin diseases
Skin Diseases, Infectious - drug therapy
Skin Diseases, Infectious - epidemiology
Skin Diseases, Infectious - etiology
Skin Diseases, Infectious - microbiology
Skin Diseases, Infectious - prevention & control
Skin Diseases, Infectious - therapy
soaps
Soaps - therapeutic use
Streptococcal Infections - drug therapy
Streptococcal Infections - epidemiology
Streptococcal Infections - etiology
Streptococcal Infections - microbiology
Streptococcal Infections - prevention & control
Streptococcal Infections - therapy
streptococcal skin infections
Thromboembolism - prevention & control
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Summary:The effect of various treatment regimens on epidemiologic aspects of skin infections was assessed in South Trinidad where acute glomerulonephritis is associated with these infections. Weekly examinations and cultures revealed marked variation in the incidence of skin lesions in untreated children during 40 weeks of study. Neither plain soap nor hexachlorophene soap decreased the incidence of skin lesions or of group A streptococci in the lesions significantly. Intramuscular injections of penicillin eradicated the streptococci for four weeks. They did not eradicate the skin lesions, however, which soon were colonized again with streptococci. These observations indicate that control of streptococcal skin infections in Trinidad should start with prevention of the skin lesions or their protection from sources of group A streptococci.
ISSN:0002-9262
1476-6256
DOI:10.1093/oxfordjournals.aje.a121629