Surface tonsillar microflora versus deep tonsillar microflora in recurrent acute tonsillitis

Rosen, G.; Samuel, J. J.; Vered, Iris

doi:10.1017/s0022215100084553

Cited by 56 publications

(31 citation statements)

References 4 publications

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“…However Rosen et al 11 reported H influenza (40%) the common isolate in the core tonsil whereas Brooke et al 15 found haemolytic streptococci the predominate isolate.…”

Section: Discussionmentioning

confidence: 97%

Bacteriological Evaluation of Tonsillar Surface and Tonsillar Core Micro Flora in Patients Undergoing Tonsillectomy

Manandhar¹,

Bhandary²,

Chhetri³

et al. 2016

Health Renaissance

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“…However Rosen et al 11 reported H influenza (40%) the common isolate in the core tonsil whereas Brooke et al 15 found haemolytic streptococci the predominate isolate.…”

Section: Discussionmentioning

confidence: 97%

Bacteriological Evaluation of Tonsillar Surface and Tonsillar Core Micro Flora in Patients Undergoing Tonsillectomy

Manandhar¹,

Bhandary²,

Chhetri³

et al. 2016

Health Renaissance

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“…The diagnostic test of swabbing the surface of the tonsils as a culture specimen for determination of the organisms responsible for tonsillitis is well in practice but several studies indicate a marked discrepancy in the surface and core pathogens [8][9][10][11][12]. This study conforms with the statement by the above mentioned authors that the throat swab is not a reliable diagnostic test for identifying the bacterial micro flora in recurrent/chronic tonsillitis if it is not associated with high serum ASO titre and FNA culture.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Validity of High Serum Antistreptolysin O Titre Only, as an Indication for Tonsillectomy

Hembrom

Roychaudhuri

Saha

et al. 2012

Indian J Otolaryngol Head Neck Surg

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Serum Antistreptolysin O (ASO) titre is raised when there is infection of any organ of the body, by Group A beta haemolytic streptococci (GABHS), Group C or Group G streptococci [1]. Increased serum ASO titre should not be the only deciding criterion for tonsillectomy if GABHS is not present in the palatine tonsils. In this study, we evaluate the rationality of performing tonsillectomy in raised serum ASO titre only, in absence of GABHS in palatine tonsil. The study was designed as a prospective cohort study in which the main out come measure is to find out: The main outcome measure is to find out whether only the raised serum ASO titre is to be considered to perform tonsillectomy or not. Fifty consecutive patients (both children and adults) clinically diagnosed to have chronic tonsillitis were included in this prospective cohort study. Throat swab culture, tonsilar core tissue culture and Serum ASO titre tests were performed in all the patients. The results showed that out of the 50 patients 45 had raised ASO titre and 5 patients had normal ASO titre. GABHS was found in 5 cases (10 %) in throat swab culture and 8 cases (16 %) in FNA of tonsil core culture. The sensitivity of throat swab culture as compared to FNA Tonsil core culture was 62.5 % and positive predictive value was 100 %. The sensitivity of ASO titre as compared to core culture was 100 % and positive predictive value was 17.8 %. Specificity was only 12 %. From the results of this study, it is evident that FNA culture of the tonsil core is a valid and a reliable test for the diagnosis of bacterial micro flora in recurrent tonsillitis. One should perform throat swab culture and FNA culture from tonsil core along with ASO titre before doing tonsillectomy in absence of any other indications. Identifying GABHS in the tonsil by FNA test and/or in the throat swab culture along with high serum ASO titre may be one of the ideal indications for tonsillectomy.

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“…The first was a group of 25 children, 11 girls and 14 boys aged 2 to 16 years (mean, 6 years), who had a history of three or more episodes of recurrent acute group A 0-hemolytic streptococcal tonsillitis dur¬ ing the immediate 12 months preceding surgery. The second was a group of 26 children, 13 girls and 13 boys aged 2 to 14 years (mean, 6 years), who had no history of recurrent tonsillitis but required sur¬ gery for signs and symptoms of upper aerodigestive tract obstruction due to obstructive tonsils (Table 1).…”

Section: Populationmentioning

confidence: 99%

Microbiology of Obstructive Tonsillar Hypertrophy and Recurrent Tonsillitis

Kielmovitch¹,

Keleti²,

Bluestone³

et al. 1989

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\A qualitative and quantitative analysis of the tonsillar surface and core of children with recurrent streptococcal tonsillitis and children with obstructive tonsillar hypertrophy was performed. No qualitative difference was found within the two population groups. Haemophilus influenzae and Bacteroides melaninogenicus were the most prevalent \g=b\-lactamase\p=n-\ producing isolates in both groups. Staphylococcus aureus had the highest rate of \g=b\-lactamaseproduction on the tonsillar surface of children with recurrent tonsillitis, while Streptococcus pyogenes was more prevalent in the tonsillar surface cultures of children with obstructive tonsillar hypertrophy. The bacterial density was high but not significantly different in both groups of children. The similar microbial composition and density of both groups and the higher rate of S pyogenes recovery may signify a subclinical disease or normal flora in children with obstructive tonsillar hypertrophy.(Arch Otolaryngol Head Neck Surg.

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Surface tonsillar microflora versus deep tonsillar microflora in recurrent acute tonsillitis

Cited by 56 publications

References 4 publications

Bacteriological Evaluation of Tonsillar Surface and Tonsillar Core Micro Flora in Patients Undergoing Tonsillectomy

Bacteriological Evaluation of Tonsillar Surface and Tonsillar Core Micro Flora in Patients Undergoing Tonsillectomy

Evaluation of the Validity of High Serum Antistreptolysin O Titre Only, as an Indication for Tonsillectomy

Microbiology of Obstructive Tonsillar Hypertrophy and Recurrent Tonsillitis

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