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Journal of Medical Sciences
  Year: 2008 | Volume: 8 | Issue: 3 | Page No.: 325-328
DOI: 10.3923/jms.2008.325.328
 
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The Microbiologic Comparison of the Surface and Deep Tissue Tonsillar Cultures in Patients Underwent Tonsillectomy

Hossein Rekabi, Azar Dokht Khosravi, Khashayar Ahmadi and Maryam Kardouni

Abstract:
This study was performed to introduce whether there is any difference between tonsillar surface and deep tissue cultures in patients who underwent tonsillectomy for recurrent tonsillitis. The study was prospectively performed on 120 patients who had undergone tonsillectomy for recurrent tonsillitis. Tonsillar surface and deep tonsillar cultures were taken in all patients. All patients underwent tonsillectomy under general anesthesia and in operating room conditions. The tonsillar surface cultures were taken transorally under direct vision by using a sterile cotton-tipped applicator. The samples were inoculated into sheep blood and chocolate agar. All of the samples were taken to the microbiology laboratory within half an hour. Pathogenic bacteria were isolated in 78 patients of 120 patients included in the study. Of these, different types of bacteria were recovered from the surface and deep tissue cultures, whereas in 30 patients, the same types of bacteria were isolated from both the surface and deep tissue cultures. The organisms recovered from the tonsillar surface swabs and deep tissue specimens were: Streptococcus pneumoniae 35.9%; group A α-hemolytic streptococci 28.2%, Haemophilus influenzae 17.9%, Staphylococcus aureus (methicillin sensitive and resistant) 15.4% and E. coli 2.6%. Neither E. coli nor methicillin sensitive S. aureus (MSSA) were recovered from deep tissue cultures. Since swab cultures taken from the tonsillar surface may not always represent the actual bacteriology of the interior tonsil, thus, tonsillar deep tissue cultures may be helpful in clarifying tonsillar microbiology and guiding the treatment of patients with chronic tonsillitis.
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How to cite this article:

Hossein Rekabi, Azar Dokht Khosravi, Khashayar Ahmadi and Maryam Kardouni, 2008. The Microbiologic Comparison of the Surface and Deep Tissue Tonsillar Cultures in Patients Underwent Tonsillectomy. Journal of Medical Sciences, 8: 325-328.

DOI: 10.3923/jms.2008.325.328

URL: https://scialert.net/abstract/?doi=jms.2008.325.328

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