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Relationship between Helicobacter pylori Adenotonsillar Colonization and Frequency of Adenotonsillitis in Children

Oğuz Güçlü1, Alper Akçalı2, Erkan Melih Sahin3

  • 1Department of Otolaryngology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.

Balkan Medical Journal
|September 11, 2014
PubMed

Insights

Helicobacter pylori (H. pylori) colonization is rare in tonsil and adenoid tissues of patients undergoing surgery for airway obstruction or recurrent infections. This study found no significant difference in H. pylori presence between pediatric and adult cases.

Area of Science:

  • Otolaryngology
  • Microbiology
  • Pediatric Medicine

Background:

  • Limited data exists on Helicobacter pylori (H. pylori) presence in tonsil and adenoid tissues, particularly in patients with isolated airway obstruction.
  • This study aimed to investigate H. pylori in surgical cases involving airway obstruction or recurrent infections.

Purpose of the Study:

  • To explore the link between H. pylori adenotonsillar colonization and adenotonsillitis frequency.
  • To compare H. pylori tonsillar colonization rates in pediatric versus adult patients.

Main Methods:

  • A prospective clinical trial involving patients undergoing adenoidectomy or tonsillectomy.
  • Patients were categorized into pediatric infection (n=29), pediatric obstruction (n=29), and adult infection (n=12) groups.
  • H. pylori detection utilized culture, rapid urease test, and polymerase chain reaction (PCR) on tissue samples.

Main Results:

  • H. pylori was detected in a small percentage of tonsil (4.1% URT, 6.1% PCR) and adenoid (5.8% PCR) tissues.
  • No statistically significant differences in H. pylori presence were observed between pediatric infection and obstruction groups.
  • Similarly, no significant differences were found when comparing pediatric infection and adult infection groups.

Conclusions:

  • The incidence of H. pylori colonization in tonsil and adenoid tissues is low.
  • No significant association was found between H. pylori colonization and the indication for surgery (infection vs. obstruction) in pediatric patients.
  • H. pylori colonization rates did not differ significantly between pediatric and adult surgical cases.
Abstract

Keywords:
Helicobacter pyloriPCRadenoidcolonisationfrequency of infectiontonsil

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