Nasopharyngeal bacterial flora before and after adenoidectomy

Talaat, Ahmed; Bahgat, Y. S.; El-Ghazzawy, E.; Elwany, Samy

doi:10.1017/s0022215100108990

Cited by 22 publications

(25 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Talaat et al [13] examined the flora of the epipharnyx in 50 patients before and after adenotomy. They experienced that 1 month after the operation the number of pathogenic bacteria in the epipharynx was reduced by 77% compared to the situation before adenotomy.…”

Section: Discussionmentioning

confidence: 99%

Aerobic and anaerobic bacteriology of chronic adenoid disease in children

Fekete-Szabo¹,

Berenyi²,

Kecskés³

et al. 2010

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Aerobic and anaerobic bacteriology of chronic adenoid disease in children

Fekete-Szabo¹,

Berenyi²,

Kecskés³

et al. 2010

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

“…19 Our results are in agreement with those of others showing reduced oropharyngeal carriage of potential pathogens after tonsillectomy. [20][21][22] These studies, however, had smaller sample sizes, 21,22 shorter follow-up periods, [20][21][22] and all lacked a randomly assigned control group. [20][21][22] These results should be interpreted in the light of several limitations.…”

Section: Commentmentioning

confidence: 99%

Alterations of the Oropharyngeal Microbial Flora After Adenotonsillectomy in Children

Le¹,

Rovers²,

Staaij³

et al. 2007

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

To determine whether the oropharyngeal microbial flora changes after adenotonsillectomy (ATY) in children with mild to moderate symptoms of throat infections or adenotonsillar hypertrophy and to relate these findings to recurrence of throat infections. Design: Randomized controlled trial. Setting: Twenty-three general hospitals and 3 academic centers. Patients: Three hundred children aged 2 to 8 years who were selected for ATY because of recurrent throat infections (3-6 episodes per year) or obstructive complaints. Children with a history of 7 or more throat infections in the previous year and those with a high suspicion of obstructive sleep apnea according to current medical practice were excluded. Interventions: Children were randomly assigned to either ATY or watchful waiting. Oropharyngeal swabs were taken at baseline and at 3 and 12 months after baseline. Main Outcome Measures: The primary outcome measure was the prevalence of potentially pathogenic bacteria in the oropharynx at 3 and 12 months. The secondary outcome measure was the association between carriage of group A ␤-hemolytic streptococci (GABHS) at baseline and at 3 months' follow-up and the number of throat infections during the 12 months of follow-up. Results: In the ATY group, prevalences of Haemophilus influenzae, GABHS, and Staphylococcus aureus decreased from 40%, 13%, and 5%, respectively, at baseline to respective levels of 24%, 0%, and 0% at 3 months and 26%, 0%, and 0% at 12 months. In the watchful waiting group, prevalences of H influenzae, GABHS, and S aureus did not change substantially. In neither the ATY nor the watchful waiting group was carriage of GABHS associated with recurrence of throat infections. Conclusions: Adenotonsillectomy reduced oropharyngeal carriage of potential respiratory pathogens. Changes in the carriage rate of GABHS, however, had no beneficial effect on recurrence of throat infections.

show abstract

“…Obstructive adenoids on the other hand may cause stasis of nasal secretions with resultant infection 5 . Support for this comes from studies that show a reduction in the number of bacterial pathogens and an increase in commensal microorganisms in the nasopharynx after adenoidectomy 6 …”

Section: Introductionmentioning

confidence: 99%

“…5 Support for this comes from studies that show a reduction in the number of bacterial pathogens and an increase in commensal microorganisms in the nasopharynx after adenoidectomy. 6 Most agree that an adenoidectomy should be considered for children with CRS who fail medical management. Rosenfeld,7 in 1995, evaluated a step treatment approach for refractory chronic sinusitis in which children were treated initially medically and then those who failed went on to have an adenoidectomy.…”

Section: Introductionmentioning

confidence: 99%