Shishegar Mahmood, Ashraf Mohammad Javad
Department of Otolaryngology, Head and Neck Surgery, Shiraz University of Medical Sciences, Zand Boulevard, Shiraz 7134845794, Iran.
Department of Pathology, Shiraz University of Medical Sciences, Zand Boulevard, Shiraz 7134845794, Iran.
Adv Prev Med. 2014;2014:161878. doi: 10.1155/2014/161878. Epub 2014 Oct 22.
Objective. This study aimed to identify the microorganisms of surface and depth of tonsils and whether these microorganisms bring the menace of bacteremia during tonsillectomy in the children under surgery. Materials and Methods. The culture specimens were taken from surface and depth of tonsil from the patients suffering from chronic tonsillitis at the time of operation. Also, 10 mL venous blood samples were taken 5 minutes before and after the operation for microbiological study. Results. According to the results, 112 (76.1%) and 117 (79.6%) cultures from surface and depth of tonsils represented multiple microorganisms, respectively. Besides, staphylococci coagulase positive was the most common organism in both surface and depth of tonsils. None of the preoperation blood cultures were positive, while 3 postoperation blood cultures (2.1%) were positive. Staphylococci coagulase negative and alpha hemolytic streptococcus were detected in 2 cases (1.4%) and 1 case (0.7%), respectively. Conclusion. In the present study, the two cultured sites were almost similar regarding the types of isolated microorganisms. Our results suggested that bacteremia might occur after tonsillectomy. Therefore, to avoid the possible dramatic outcomes after tonsillectomy, pre- and postoperation attendances are essential.
目的。本研究旨在确定扁桃体表面和深部的微生物，以及这些微生物在手术中的儿童扁桃体切除术中是否会带来菌血症的威胁。材料与方法。在手术时从患有慢性扁桃体炎的患者扁桃体表面和深部采集培养标本。此外，在手术前后5分钟采集10毫升静脉血样本进行微生物学研究。结果。根据结果，扁桃体表面和深部的培养物分别有112份（76.1%）和117份（79.6%）呈现多种微生物。此外，凝固酶阳性葡萄球菌是扁桃体表面和深部最常见的微生物。术前血培养均为阴性，而术后血培养有3份（2.1%）为阳性。凝固酶阴性葡萄球菌和甲型溶血性链球菌分别在2例（1.4%）和1例（0.7%）中检测到。结论。在本研究中，两个培养部位分离出的微生物类型几乎相似。我们的结果表明扁桃体切除术后可能发生菌血症。因此，为避免扁桃体切除术后可能出现的严重后果，术前和术后的护理至关重要。
