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Adenoid bacterial colonization in a paediatric population

João Subtil1, João Carlos Rodrigues2, Lúcia Reis2

  • 1Serviço de otorrinolaringologia (ORL), Hospital de Beatriz Ângelo (HBA), Avenida Carlos Teixeira 3, 2674-514, Loures, Portugal.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|February 19, 2017
PubMed

Insights

This study found that adenoid bacterial colonization is linked to upper airway infections in children. Removing adenoids (adenoidectomy) may help treat these recurrent respiratory and ear infections.

Area of Science:

  • Pediatric Otolaryngology
  • Microbiology
  • Infectious Diseases

Background:

  • Adenoids are implicated in pediatric respiratory and ear infections.
  • Adenoidectomy is a common treatment shown to improve these conditions.

Purpose of the Study:

  • To investigate bacterial colonization of adenoids in children.
  • To determine the relationship between adenoid microbiota and infectious respiratory diseases.
  • To compare bacterial colonization in children undergoing adenoidectomy for infectious versus non-infectious reasons.

Main Methods:

  • A prospective observational study involving 62 children aged 1-12 years.
  • Comparison of microbiota from the adenoid surface, adenoid core, and middle meatus.
  • Stratification of patients into infectious and non-infectious indication cohorts for adenoidectomy.

Main Results:

  • A significant association was identified between adenoid bacterial colonization and nasal infections.
  • Adenoids appear to serve as a reservoir for bacteria causing upper airway infections.
  • Microbiota analysis revealed differences between adenoid surface, core, and middle meatus.

Conclusions:

  • Adenoid bacterial colonization is closely linked to recurrent upper airway infections in children.
  • Findings support the role of adenoids as a bacterial reservoir, explaining the efficacy of adenoidectomy for infectious indications.

Keywords:
AdenoidectomyChildrenNasal and adenoidal microbiotaUpper airways infection

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