Khadilkar Meera Niranjan, Ankle Nitin R
Resident, Department of Ear, Nose and Throat, Jawaharlal Nehru Medical College, KLE University , Belgaum, Karnataka, India .
Professor, Department of Ear, Nose and Throat, Jawaharlal Nehru Medical College, KLE University , Belgaum, Karnataka, India .
J Clin Diagn Res. 2016 Nov;10(11):MC01-MC03. doi: 10.7860/JCDR/2016/22124.8819. Epub 2016 Nov 1.
Tonsillar infection may stem from bacteria within tonsillar crypts or parenchyma rather than from those on the surface. Pathogens isolated from surface culture may be colonizing the tonsil, but not essentially infecting it. Anaerobes though not often studied, are known to cause chronic tonsillitis.
To study the correlation of anaerobic bacterial isolates in surface and core cultures from recurrently infected and inflamed tonsils.
A cross-sectional study was conducted in Charitable Hospital and Medical Research Centre, Belagavi from January 2014 to December 2014 on 100 patients of chronic tonsillitis who underwent tonsillectomy. Swabs were obtained from tonsil surface and core and analysed for anaerobes as per standard protocol. Chi-square test and Fischer-Exact test were used for statistical analysis.
Twenty eight out of 63 (44.4%) patients had anaerobic growth on tonsil surface and 30 out of 62 (48.4%) patients had anaerobic growth in tonsil core. sp. was the most common anaerobe isolated from the surface as well as from the core. There was no statistical significance between anaerobes isolated in the tonsil surface and core.
Anaerobic organisms obtained from tonsil surface and core cultures were similar. A throat swab satisfactorily depicts the core organism and is reliable in recognizing the bacteriology of chronic tonsillitis. Anaerobic organisms known to inhabit the surface as well as the core of tonsils may be treated with suitable antibiotic therapy.
扁桃体感染可能源于扁桃体隐窝或实质内的细菌，而非表面的细菌。从表面培养物中分离出的病原体可能只是在扁桃体定植，而不一定是感染。厌氧菌虽不常被研究，但已知可引起慢性扁桃体炎。
研究复发性感染和发炎扁桃体表面及深部培养物中厌氧菌分离株的相关性。
2014年1月至2014年12月在贝拉加维慈善医院和医学研究中心对100例行扁桃体切除术的慢性扁桃体炎患者进行了一项横断面研究。从扁桃体表面和深部获取拭子，按照标准方案分析厌氧菌。采用卡方检验和费舍尔精确检验进行统计分析。
63例患者中有28例（44.4%）扁桃体表面有厌氧菌生长，62例患者中有30例（48.4%）扁桃体深部有厌氧菌生长。 是从表面和深部分离出的最常见厌氧菌。扁桃体表面和深部分离出的厌氧菌之间无统计学意义。
从扁桃体表面和深部培养物中获得的厌氧生物相似。咽拭子能令人满意地描绘深部生物，在识别慢性扁桃体炎的细菌学方面是可靠的。已知存在于扁桃体表面和深部的厌氧生物可用合适的抗生素治疗。
