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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,...

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Autores principales: Slouka, David, Hanakova, Jana, Kostlivy, Tomas, Skopek, Petr, Kubec, Vojtech, Babuska, Vaclav, Pecen, Ladislav, Topolcan, Ondřej, Kucera, Radek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
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).
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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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