Kaygusuz I, Gök U, Yalçin S, Keleş E, Kizirgil A, Demirbağ E
Otorhinolaryngology Department, Firat University, Medical Faculty, 23200 Elazig, Turkey.
Int J Pediatr Otorhinolaryngol. 2001 Apr 6;58(1):69-73. doi: 10.1016/s0165-5876(00)00471-7.
To investigate bacteremia in patients who underwent tonsillectomy with a dissection method due to chronic tonsillitis, which may lead to dramatic results in patients that have a cardiovascular infection risk. In this study, it was explored whether the tonsil surface and the tonsil tissue interior microorganisms are different or not, and whether these microorganisms carry bacteremia development risk.
Forty patients were enrolled in the study in ENT Clinic, Firat University. A bacteriological research was performed on patients with no treatment with antibiotics for a month before the operation. Tonsil surface and deep tissue cultures were performed, and venous blood samples were taken for cultures before and after the operation.
Surface and deep tissue cultures of tonsils of the cases represented a different result in 27.5% of the patients. No reproduction was observed regarding the blood cultures taken before tonsillectomy. Bacteremia was found in blood samples of ten patients (25%) taken immediately after tonsillectomy.
Hence, it has been concluded that different microorganisms may be present among the tonsil surface and tonsil deep tissue cultures and that bacteremia may develop after tonsillectomy. Therefore, to prevent the possible dramatic outcomes after tonsillectomy the required measures during the preoperative period should be taken into consideration, especially in patients that have chronic tonsillitis with cardiovascular disease.
研究因慢性扁桃体炎采用剥离法行扁桃体切除术的患者发生菌血症的情况，这在有心血管感染风险的患者中可能会导致严重后果。本研究探讨扁桃体表面和扁桃体组织内部的微生物是否存在差异，以及这些微生物是否具有引发菌血症的风险。
锡尔万大学耳鼻喉科门诊纳入40例患者进行研究。对术前1个月未使用抗生素治疗的患者进行细菌学研究。进行扁桃体表面和深部组织培养，并在手术前后采集静脉血样本进行培养。
27.5%的患者扁桃体表面和深部组织培养结果不同。扁桃体切除术前采集的血培养未观察到细菌繁殖。扁桃体切除术后立即采集的10例患者（25%）血样中发现菌血症。
因此，得出结论：扁桃体表面和扁桃体深部组织培养中可能存在不同微生物，扁桃体切除术后可能发生菌血症。因此，为防止扁桃体切除术后可能出现的严重后果，应考虑术前所需采取的措施，尤其是对于患有慢性扁桃体炎合并心血管疾病的患者。
