Journal of Medical Sciences1682-44741812-5727Asian Network for Scientific Information10.3923/jms.2008.325.328RekabiHossein KhosraviAzar Dokht AhmadiKhashayar KardouniMaryam 3200883This 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.]]>Brodsky, L.,19893615511569Brodsky, L., M. Nagy and M. Volk,1991213339Brook, I. and P.A. Foote,2006Staphylococcus aureus from the surface and core of tonsils in children.]]>7020992102Discolo, C.M., D.H. Darrow and P.J. Koltai,200350445458Forbes, B.A., D.F. Sahm and A.S. Weissfeld, 200211th Edn.,pp: 899-906pp: 899-906Gross, C.W. and S.E. Harrison,2000217578Gul, M., E. Okur, P. Ciragil, I. Yildirim, M. Aral and M. Akif Kilic,200728173176Hibbert, J.,19891989pp: 368-383pp: 368-383Kielmovitch, I.H., G. Keleti, C.D. Bluestone, E.R. Wald and C. Gonzalez,1989115721724Kornblut, A.D.,19911991pp: 2129- 2147pp: 2129- 2147Lindroos, R.,2000543206208Loganathan, A., U.D. Arumainathan and R. Raman,200647271275Mahakit, P., G. Moungthong, T. Sombulna and S. Chantaratchada,200588S8288Paradise, J.L., C.D. Bluestone, D.K. Colborn, B.S. Bernard and H.E. Rockette,2002110715Rosenfeld, R.M. and R.P. Gren,199099187191Uppal, K. and A.S. Bais,1989103175177van Staaij, B.K., E.H. Van Den Akker, E.H. De Haas Van Dorsser, A. Flees, A.W. Hoes and A.G. Schilder,2003123873878Syrylo, A., A. Wojdas and D. Jurkiewicz, 200761598601Yildirim, I., E. Okur, P. Ciragil, M. Aral, M.A. Kilic and M. Gul,2003117619623