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A correlation between age and Actinomyces in the adenotonsillar tissue of children
P Melgarejo Moreno1, D Hellin Meseguer, A Marco Garrido
1ENT Department, Hospital Santa Maria, Lleida, Spain.
Insights
Actinomyces bacteria were found in nearly half of children undergoing adenotonsillar surgery for hypertrophy or recurrent infections. The bacteria were more common in older children aged 5-16.
Area of Science:
- Otolaryngology
- Pediatric Infectious Diseases
- Microbiology
Background:
- Adenotonsillar disease, including hypertrophy and recurrent infections, is common in children.
- Actinomyces species are bacteria that can cause various infections.
Purpose of the Study:
- To determine the prevalence of Actinomyces in children with adenotonsillar hypertrophy or recurrent adenotonsillitis.
- To explore potential associations between Actinomyces and these conditions.
Main Methods:
- A cohort of 64 children (ages 2-16) undergoing adenotonsillar surgery was studied.
- Presence of Actinomyces in adenotonsillar tissue was assessed.
- Data were analyzed for associations with clinical diagnoses and patient age.
Main Results:
- Actinomyces was detected in 30 out of 64 children (48%).
- No significant association was found between Actinomyces and recurrent adenotonsillitis or adenotonsillar hypertrophy.
- A statistically significant correlation was observed between Actinomyces presence and older age (5-16 years).
Conclusions:
- Actinomyces is frequently present in the adenotonsillar tissue of children undergoing surgery.
- Age is a significant factor, with higher prevalence in older children.
- Further research may clarify the role of Actinomyces in pediatric adenotonsillar conditions.
Abstract:
The purpose of this study was to investigate the presence of actinomyces in adenotonsillar disease, recurrent infections, or tonsillar hypertrophy in children. The study included 64 patients, ranging in age from 2 to 16 years, who had elective adenotonsillar surgery to treat either adenotonsillar hypertrophy (36 children) or recurrent adenotonsillitis (28 children). Adenotonsillar Actinomyces was present in 30 children (48%). No statistical significance was found between Actinomyces and recurrent adenotonsillitis or adenotonsillar hypertrophy. However, there was a statistically significant relationship identified between the presence of actinomycosis and age, with a greater occurrence of actinomycosis in children between 5 and 16 years old.
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