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Epidemiological and Microbiological Aspects of the Peritonsillar Abscess
Peritonsillar abscess (PTA) is the most common complication of tonsillitis. Cultivation usually reveals a wide spectrum of aerobic and anaerobic microbiota. This retrospective study compared PTA incidence and the spectrum of individual microbial findings in groups of patients divided by gender, age,...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312574/ https://www.ncbi.nlm.nih.gov/pubmed/32516939 http://dx.doi.org/10.3390/ijerph17114020 |
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author | Slouka, David Hanakova, Jana Kostlivy, Tomas Skopek, Petr Kubec, Vojtech Babuska, Vaclav Pecen, Ladislav Topolcan, Ondřej Kucera, Radek |
author_facet | Slouka, David Hanakova, Jana Kostlivy, Tomas Skopek, Petr Kubec, Vojtech Babuska, Vaclav Pecen, Ladislav Topolcan, Ondřej Kucera, Radek |
author_sort | Slouka, David |
collection | PubMed |
description | Peritonsillar abscess (PTA) is the most common complication of tonsillitis. Cultivation usually reveals a wide spectrum of aerobic and anaerobic microbiota. This retrospective study compared PTA incidence and the spectrum of individual microbial findings in groups of patients divided by gender, age, and season. Of the 966 samples cultivated, a positive cultivation finding was detected in 606 patients (62.73%). Cultivation findings were negative in 360 (37.27%), meaning no pathogen was present or only common microbiota was cultivated. The highest incidence of PTA was found in group I patients (19–50 years) (p ≤ 0.0001) and the most frequently cultured pathogens was Streptococcus pyogenes (36.23%). Gender seemed to have an influence on the results, with higher incidence found in males (p ≤ 0.0001). The analysis of correlation between PTA incidence and season did not yield statistically significant results (p = 0.4396) and no statistically significant differences were observed in individual pathogen frequency. PTA had a higher incidence in adult males and a slightly higher incidence in girls in childhood. The following findings are clinically significant and have implications for antibiotic treatment strategy: (1) the most frequently cultivated pathogen was Streptococcus pyogenes; (2) an increased incidence of anaerobes was proven in the oldest group (>50 years). |
format | Online Article Text |
id | pubmed-7312574 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-73125742020-06-29 Epidemiological and Microbiological Aspects of the Peritonsillar Abscess Slouka, David Hanakova, Jana Kostlivy, Tomas Skopek, Petr Kubec, Vojtech Babuska, Vaclav Pecen, Ladislav Topolcan, Ondřej Kucera, Radek Int J Environ Res Public Health Article Peritonsillar abscess (PTA) is the most common complication of tonsillitis. Cultivation usually reveals a wide spectrum of aerobic and anaerobic microbiota. This retrospective study compared PTA incidence and the spectrum of individual microbial findings in groups of patients divided by gender, age, and season. Of the 966 samples cultivated, a positive cultivation finding was detected in 606 patients (62.73%). Cultivation findings were negative in 360 (37.27%), meaning no pathogen was present or only common microbiota was cultivated. The highest incidence of PTA was found in group I patients (19–50 years) (p ≤ 0.0001) and the most frequently cultured pathogens was Streptococcus pyogenes (36.23%). Gender seemed to have an influence on the results, with higher incidence found in males (p ≤ 0.0001). The analysis of correlation between PTA incidence and season did not yield statistically significant results (p = 0.4396) and no statistically significant differences were observed in individual pathogen frequency. PTA had a higher incidence in adult males and a slightly higher incidence in girls in childhood. The following findings are clinically significant and have implications for antibiotic treatment strategy: (1) the most frequently cultivated pathogen was Streptococcus pyogenes; (2) an increased incidence of anaerobes was proven in the oldest group (>50 years). MDPI 2020-06-05 2020-06 /pmc/articles/PMC7312574/ /pubmed/32516939 http://dx.doi.org/10.3390/ijerph17114020 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Slouka, David Hanakova, Jana Kostlivy, Tomas Skopek, Petr Kubec, Vojtech Babuska, Vaclav Pecen, Ladislav Topolcan, Ondřej Kucera, Radek Epidemiological and Microbiological Aspects of the Peritonsillar Abscess |
title | Epidemiological and Microbiological Aspects of the Peritonsillar Abscess |
title_full | Epidemiological and Microbiological Aspects of the Peritonsillar Abscess |
title_fullStr | Epidemiological and Microbiological Aspects of the Peritonsillar Abscess |
title_full_unstemmed | Epidemiological and Microbiological Aspects of the Peritonsillar Abscess |
title_short | Epidemiological and Microbiological Aspects of the Peritonsillar Abscess |
title_sort | epidemiological and microbiological aspects of the peritonsillar abscess |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312574/ https://www.ncbi.nlm.nih.gov/pubmed/32516939 http://dx.doi.org/10.3390/ijerph17114020 |
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