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Bacteremia during tonsillectomy.

M François1, E H Bingen, N Y Lambert-Zechovsky

  • 1Department of Otorhinolaryngology, Robert Debré Hospital, Paris, France.

Archives of Otolaryngology--Head & Neck Surgery
|November 1, 1992
PubMed
Summary
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Bacteremia risk during tonsillectomy is linked to Haemophilus influenzae in tonsils. High bacterial loads in tonsillar tissue did not correlate with positive blood cultures in children undergoing surgery.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Microbiology

Background:

  • Tonsillectomy is a common pediatric surgical procedure.
  • Bacteremia, the presence of bacteria in the bloodstream, is a potential complication.
  • Understanding the risk factors for bacteremia during tonsillectomy is crucial for patient safety.

Purpose of the Study:

  • To investigate the incidence and potential causes of bacteremia during pediatric tonsillectomy.
  • To correlate the presence and density of bacteria in tonsillar tissue with positive blood cultures.

Main Methods:

  • Blood cultures were obtained from 32 children during tonsillectomy.
  • Tonsillar swabs and excised tonsillar tissue were quantitatively cultured.
  • Bacterial species and their densities were identified and compared.

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Main Results:

  • Haemophilus influenzae was detected in 25 tonsillar tissue samples.
  • Streptococcus pyogenes was found in 7 tonsillar tissue samples.
  • Twelve perioperative blood cultures were positive, with H. influenzae identified in nine instances.

Conclusions:

  • Haemophilus influenzae is frequently present in tonsillar tissue of children undergoing tonsillectomy.
  • Positive blood cultures during the procedure were often associated with H. influenzae.
  • No clear relationship was found between tonsillar bacterial density and positive blood cultures.