François M, Bingen E H, Lambert-Zechovsky N Y, Mariani-Kurkdjian P, Nottet J B, Narcy P
Department of Otorhinolaryngology, Robert Debré Hospital, Paris, France.
Arch Otolaryngol Head Neck Surg. 1992 Nov;118(11):1229-31. doi: 10.1001/archotol.1992.01880110097017.
To determine the risk of bacteremia during tonsillectomy, we cultured blood specimens that were taken from 32 children during surgery and tonsillar swabs that were obtained just before excision, and compared the results with quantitative cultures of the excised tonsillar tissue. Twenty-five children had Haemophilus influenzae within the tonsillar tissue (density range, 10(3) to 10(8) colony-forming units per gram), and seven had Streptococcus pyogenes (density, 10(3) colony-forming units per gram in one case, 10(5) colony-forming units per gram in one case, and 10(6) colony-forming units per gram in five cases). Twelve perioperative blood cultures were positive; H influenzae was found nine times, and Micrococcus species was found one time, and alpha-hemolytic streptococci were found two times. Haemophilus influenzae was always present in the corresponding tonsillar specimens, although there was no apparent relationship between the density of colonization of the tonsillar tissue and a positive blood culture.
为了确定扁桃体切除术中菌血症的风险，我们对32名儿童手术期间采集的血标本以及切除前获取的扁桃体拭子进行培养，并将结果与切除的扁桃体组织定量培养结果进行比较。25名儿童的扁桃体组织内有流感嗜血杆菌（密度范围为每克10³至10⁸菌落形成单位），7名儿童有化脓性链球菌（1例密度为每克10³菌落形成单位，1例为每克10⁵菌落形成单位，5例为每克10⁶菌落形成单位）。12份围手术期血培养呈阳性；9次发现流感嗜血杆菌，1次发现微球菌属，2次发现α溶血性链球菌。尽管扁桃体组织定植密度与血培养阳性之间没有明显关系，但相应的扁桃体标本中始终存在流感嗜血杆菌。
