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Epidemiology, clinical history and microbiology of peritonsillar abscess
The purpose of this investigation was to explore the epidemiology, clinical history and microbiology of peritonsillar abscess (PTA). A retrospective review of PTA cases treated at the Department of Otolaryngology, Regional Specialist Hospital in Radom, Poland between 1st October 2003 and 30th Septem...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356895/ https://www.ncbi.nlm.nih.gov/pubmed/25322910 http://dx.doi.org/10.1007/s10096-014-2260-2 |
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author | Mazur, E. Czerwińska, E. Korona-Głowniak, I. Grochowalska, A. Kozioł-Montewka, M. |
author_facet | Mazur, E. Czerwińska, E. Korona-Głowniak, I. Grochowalska, A. Kozioł-Montewka, M. |
author_sort | Mazur, E. |
collection | PubMed |
description | The purpose of this investigation was to explore the epidemiology, clinical history and microbiology of peritonsillar abscess (PTA). A retrospective review of PTA cases treated at the Department of Otolaryngology, Regional Specialist Hospital in Radom, Poland between 1st October 2003 and 30th September 2013 was undertaken. A total of 111 PTA patients were admitted. The study population consisted of 57.7 % males and 42.3 % females, with an average age of 31.0 (range 5–78) years. Smokers comprised 22.0 % of the study group. The seasonal variation of PTA was statistically insignificant (p = 0.45). Recurrent tonsillitis occurred in 35.5 % of patients. In comparison with the rest of the study population, patients with a history of recurrent pharyngotonsillitis had higher incidence of previous PTA episodes [odds ratio (OR) 17.8, 95 % confidence interval (CI) 2.1–148.7, p = 0.001]. Also, they were more frequently treated with antibiotics prior to hospitalisation (OR 4.6, 95 % CI 2.0–10.9, p = 0.0005) and had significantly longer hospital stay (p = 0.03). Bacterial cultures of abscess aspirates were performed in 40.5 % of patients. Monomicrobial growth was detected in 77.8 % of aerobic cultures. Streptococcus pyogenes, growing most frequently in monoculture, was found in 28.9 % of aerobic cultures. PTA patients with and without recurrent pharyngotonsillitis differed with regard to clinical history and course of disease. The percentage of smokers among PTA patients was lower than that described in the literature. Monomicrobial growth predominated in PTA aspirate cultures. S. pyogenes proved to be the most frequent pathogen. |
format | Online Article Text |
id | pubmed-4356895 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-43568952015-03-18 Epidemiology, clinical history and microbiology of peritonsillar abscess Mazur, E. Czerwińska, E. Korona-Głowniak, I. Grochowalska, A. Kozioł-Montewka, M. Eur J Clin Microbiol Infect Dis Article The purpose of this investigation was to explore the epidemiology, clinical history and microbiology of peritonsillar abscess (PTA). A retrospective review of PTA cases treated at the Department of Otolaryngology, Regional Specialist Hospital in Radom, Poland between 1st October 2003 and 30th September 2013 was undertaken. A total of 111 PTA patients were admitted. The study population consisted of 57.7 % males and 42.3 % females, with an average age of 31.0 (range 5–78) years. Smokers comprised 22.0 % of the study group. The seasonal variation of PTA was statistically insignificant (p = 0.45). Recurrent tonsillitis occurred in 35.5 % of patients. In comparison with the rest of the study population, patients with a history of recurrent pharyngotonsillitis had higher incidence of previous PTA episodes [odds ratio (OR) 17.8, 95 % confidence interval (CI) 2.1–148.7, p = 0.001]. Also, they were more frequently treated with antibiotics prior to hospitalisation (OR 4.6, 95 % CI 2.0–10.9, p = 0.0005) and had significantly longer hospital stay (p = 0.03). Bacterial cultures of abscess aspirates were performed in 40.5 % of patients. Monomicrobial growth was detected in 77.8 % of aerobic cultures. Streptococcus pyogenes, growing most frequently in monoculture, was found in 28.9 % of aerobic cultures. PTA patients with and without recurrent pharyngotonsillitis differed with regard to clinical history and course of disease. The percentage of smokers among PTA patients was lower than that described in the literature. Monomicrobial growth predominated in PTA aspirate cultures. S. pyogenes proved to be the most frequent pathogen. Springer Berlin Heidelberg 2014-10-17 2015 /pmc/articles/PMC4356895/ /pubmed/25322910 http://dx.doi.org/10.1007/s10096-014-2260-2 Text en © The Author(s) 2014 https://creativecommons.org/licenses/by/4.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Article Mazur, E. Czerwińska, E. Korona-Głowniak, I. Grochowalska, A. Kozioł-Montewka, M. Epidemiology, clinical history and microbiology of peritonsillar abscess |
title | Epidemiology, clinical history and microbiology of peritonsillar abscess |
title_full | Epidemiology, clinical history and microbiology of peritonsillar abscess |
title_fullStr | Epidemiology, clinical history and microbiology of peritonsillar abscess |
title_full_unstemmed | Epidemiology, clinical history and microbiology of peritonsillar abscess |
title_short | Epidemiology, clinical history and microbiology of peritonsillar abscess |
title_sort | epidemiology, clinical history and microbiology of peritonsillar abscess |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356895/ https://www.ncbi.nlm.nih.gov/pubmed/25322910 http://dx.doi.org/10.1007/s10096-014-2260-2 |
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