{"id":969,"date":"2019-01-07T17:10:52","date_gmt":"2019-01-07T16:10:52","guid":{"rendered":"https:\/\/icare-cro.com\/blog\/?p=969"},"modified":"2020-01-28T10:45:29","modified_gmt":"2020-01-28T09:45:29","slug":"tampone-faringeo-nei-bambini-mito-e-realta","status":"publish","type":"post","link":"https:\/\/icare-cro.com\/blog\/2019\/01\/07\/tampone-faringeo-nei-bambini-mito-e-realta\/","title":{"rendered":"Tampone faringeo nei bambini: mito e realt\u00e0."},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 3<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>\n<p class=\"wp-block-paragraph\"><strong>Tampone faringeo si o tampone faringeo no? Questo \u00e8 il problema.<\/strong> Una ricerca in internet sull&#8217;argomento non pu\u00f2 che aumentare la nostra incertezza. Tutto nasce dal fatto che non esiste una indicazione univoca e riconosciuta da tutti. Oggi parleremo delle indicazioni all&#8217;esecuzione di un tampone faringeo nei bambini. Quando va fatto? Quando non va fatto?<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img wpfc-lazyload-disable=\"true\" loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/brothers-457237_1280-1024x682.jpg\" alt=\"\" class=\"wp-image-970\" srcset=\"https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/brothers-457237_1280-1024x682.jpg 1024w, https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/brothers-457237_1280-300x200.jpg 300w, https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/brothers-457237_1280-768x512.jpg 768w, https:\/\/icare-cro.com\/blog\/wp-content\/uploads\/2019\/01\/brothers-457237_1280.jpg 1280w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Tonsillite batterica o virale<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Come abbiamo gi\u00e0 analizzato in un precedente post (&#8220;<a href=\"https:\/\/icare-cro.com\/blog\/2018\/02\/14\/come-togliere-le-placche-alla-gola\/\"><strong>Come togliere le placche alla gola<\/strong><\/a>&#8220;), \u00e8 praticamente impossibile distinguere ad occhio nudo una <a href=\"https:\/\/www.icare-cro.com\/tonsillite.html\"><strong>tonsillite batterica<\/strong><\/a> da una <a href=\"https:\/\/www.icare-cro.com\/tonsillite.html\"><strong>tonsillite virale<\/strong><\/a>. Quindi, come possiamo identificare una infezione da <em><strong>streptococco beta-emolitico di gruppo A\u00a0(SBEGA)<\/strong><\/em>? Solamente mediante l&#8217;esecuzione di un tampone per analizzare i batteri presenti sulla superficie delle tonsille. Perch\u00e9 \u00e8 cos\u00ec importante identificare una infezione di questo tipo? Perch\u00e9 questo tipo di batterio, soprattutto nel bambino, pu\u00f2 provocare serie e gravi conseguenze. Parleremo di questo in un post a parte.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><div id=\"text-2\" class=\"widget widget_text amr_widget\">\t\t\t<div class=\"textwidget\"><p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- Responsive --><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block;\" data-ad-client=\"ca-pub-2279281751910100\" data-ad-slot=\"5949845678\" data-ad-format=\"auto\" data-full-width-responsive=\"true\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n<\/div>\n\t\t<\/div><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Tampone faringeo: pro e contro<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Prima di cercare di capire quando eseguire un tampone faringeo, cerchiamo di identificare i pro ed i contro della sua esecuzione.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>PRO<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Il tampone faringeo \u00e8 l&#8217;<strong>unico sistema per sapere in modo certo se l&#8217;infezione tonsillare \u00e8 di origine batterica<\/strong> e se \u00e8 implicato lo streptococco beta-emolitico di gruppo A.<\/li><li>Si tratta di un esame <strong>teoricamente facile da eseguire ma solo nel bambino collaborante<\/strong>.<\/li><li>Se viene utilizzato il test rapido, <strong>possiamo avere il risultato in pochi minuti<\/strong>. Tuttavia l&#8217;affidabilit\u00e0 del test rapido \u00e8 dibattuta.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CONTRO<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Il tampone pu\u00f2 essere di <strong>difficile esecuzione nel bambino non collaborante.<\/strong><\/li><li><strong>Il tampone pu\u00f2 fornire, abbastanza frequentemente risultati falsamente negativi.<\/strong> Questo significa che, in alcuni casi, il tampone pu\u00f2 risultare negativo ma pu\u00f2 comunque essere presente una infezione da SBEGA o altro batterio.<\/li><li><strong>L&#8217;esecuzione del tampone<\/strong>, nella maggior parte dei casi, <strong>non modifica la scelta dell&#8217;antibiotico da utilizzare<\/strong> per trattare l&#8217;infezione. Infatti, per fortuna, lo SBEGA risponde molto bene alle comuni terapie antibiotiche (Penicillina, Amoxicillina + Acido Clavulanico, eritromicina), a patto che si esegua una terapia della durata di 10 giorni.<\/li><li><strong>Per avere il risultato di un tampone faringeo eseguito in laboratorio possono essere necessari diversi giorni<\/strong> ma \u00e8 molto importante che le infezioni da SBEGA vengano trattate in tempi brevi.<\/li><li><strong>Il tampone ha un costo<\/strong>.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Quando eseguire un tampone<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Dunque, \u00e8 fuori discussione che il tampone faringeo sia l&#8217;unico metodo certo per identificare una infezione da SBEGA. Sarebbe dunque saggio eseguirlo ogni volta che si sospetta una infezione batterica. Come per\u00f2 forse avrete intuito <strong>\u00e8 molto difficile avere elementi per distinguere\u00a0infezione\u00a0virale\u00a0e\u00a0infezione\u00a0batterica<\/strong>. Quindi come bisogna comportarsi? Facciamo un tampone ad ogni episodio di tonsillite? Inoltre, possiamo fidarci del risultato del tampone? In altre parole, in presenza di un tampone negativo ma con un bambino fortemente sintomatico possiamo non dare l&#8217;antibiotico? Scommetto che se lo chiedessimo a 10 specialisti otterremmo 8 risposte diverse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><div id=\"text-2\" class=\"widget widget_text amr_widget\">\t\t\t<div class=\"textwidget\"><p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script><br \/>\n<!-- Responsive --><br \/>\n<ins class=\"adsbygoogle\" style=\"display: block;\" data-ad-client=\"ca-pub-2279281751910100\" data-ad-slot=\"5949845678\" data-ad-format=\"auto\" data-full-width-responsive=\"true\"><\/ins><br \/>\n<script>\n     (adsbygoogle = window.adsbygoogle || []).push({});\n<\/script><\/p>\n<\/div>\n\t\t<\/div><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Avendo maturato un po&#8217; di esperienza in materia, pur non potendo basare le mie affermazioni su chiare evidenze scientifiche, ritengo che <strong>bambini con tonsillite sintomatica e febbre che non recede entro 3 giorni debbano essere trattati con antibiotico indipendentemente dall&#8217;esito del tampone faringeo<\/strong>. Se la sintomatologia recede entro 3 giorni \u00e8 probabile che si trattasse di una infezione virale e non appare utile la terapia antibiotica.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ritengo, mutuando concetti scientificamente validati, che il tampone faringeo debba essere eseguito in caso di:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>storia familiare di artrite reumatoide<\/strong>,<\/li><li><strong>storia personale o familiare di glomerulonefrite<\/strong> (una importante infezione renale)<\/li><li>infezioni tonsillari che passano da un membro all&#8217;altro della famiglia (definite<strong> infezioni a ping pong<\/strong><\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In presenza di una di queste situazioni il bambino e la famiglia sono esposti a temibili complicanze che non possono essere non considerate. In questi casi credo opportuno che il tampone venga eseguito in tempi brevi in modo da evidenziare l&#8217;eventuale infezione da SBEGA e <strong>partire con la terapia antibiotica senza aspettare 3 giorni<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 3<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>Tampone faringeo si o tampone faringeo no? Questo \u00e8 il problema. Una ricerca in internet sull&#8217;argomento non pu\u00f2 che aumentare la nostra incertezza. Tutto nasce dal fatto che non esiste una indicazione univoca e riconosciuta da tutti. Oggi parleremo delle indicazioni all&#8217;esecuzione di un tampone faringeo nei bambini. Quando va fatto? Quando non va fatto?&hellip;&nbsp;<a href=\"https:\/\/icare-cro.com\/blog\/2019\/01\/07\/tampone-faringeo-nei-bambini-mito-e-realta\/\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">Tampone faringeo nei bambini: mito e realt\u00e0.<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","footnotes":"","_wpscppro_dont_share_socialmedia":false,"_wpscppro_custom_social_share_image":0,"_facebook_share_type":"","_twitter_share_type":"","_linkedin_share_type":"","_pinterest_share_type":"","_linkedin_share_type_page":"","_instagram_share_type":"","_medium_share_type":"","_threads_share_type":"","_google_business_share_type":"","_bluesky_share_type":"","_mastodon_share_type":"","_selected_social_profile":[],"_wpsp_enable_custom_social_template":false,"_wpsp_social_scheduling":{"enabled":false,"datetime":null,"platforms":[],"status":"template_only","dateOption":"","timeOption":"","customDays":"","customHours":"","customDate":"","customTime":"","schedulingType":""},"_wpsp_active_default_template":true},"categories":[32,22],"tags":[58,144],"class_list":["post-969","post","type-post","status-publish","format-standard","hentry","category-gola","category-otorinolaringoiatria","tag-bambino","tag-tonsille"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v28.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Tampone faringeo nei bambini: mito e realt\u00e0<\/title>\n<meta name=\"description\" content=\"Le indicazioni all&#039;esecuzione di un tapone faringeo nei bambini non sono univoche ed accettate da tutti. 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