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Bacteraemia during tonsillectomy

Published online by Cambridge University Press:  08 March 2006

Ilhami Yildirim ,
Erdogan Okur ,
Pinar Ciragil ,
Mural Aral ,
M. Akif Kilic  and
Mustafa Gul
Ilhami Yildirim
Affiliation:
Departments of Otorhinolaryngology and Microbiology, School of Medicine, Kahramanmaras Sutcu Imam University, 46050 Kahramanmaras, Turkey
Erdogan Okur
Affiliation:
Departments of Otorhinolaryngology and Microbiology, School of Medicine, Kahramanmaras Sutcu Imam University, 46050 Kahramanmaras, Turkey
Pinar Ciragil
Affiliation:
Department of Clinical Microbiology, School of Medicine, Kahramanmaras Sutcu Imam University, 46050 Kahramanmaras, Turkey
Mural Aral
Affiliation:
Department of Clinical Microbiology, School of Medicine, Kahramanmaras Sutcu Imam University, 46050 Kahramanmaras, Turkey
M. Akif Kilic
Affiliation:
Departments of Otorhinolaryngology and Microbiology, School of Medicine, Kahramanmaras Sutcu Imam University, 46050 Kahramanmaras, Turkey
Mustafa Gul
Affiliation:
Department of Clinical Microbiology, School of Medicine, Kahramanmaras Sutcu Imam University, 46050 Kahramanmaras, Turkey
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Abstract

The aim of this study was to determine the incidence of bacteraemia during tonsillectomy and investigate the effect of the timing of culture sampling on the incidence of bacteraemia associated with it. Sixty-four consecutive patients who had been admitted for elective tonsillectomy were included in the study. Patients were randomly classified into two groups. Blood cultures as well as tonsillar surface and deep tissue cultures were obtained from all patients before tonsillectomy and 60 minutes after tonsillectomy. In addition, blood cultures were taken within two minutes following tonsillectomy for group 1 and 15 minutes after tonsillectomy for group 2. In group 1, the cultures obtained within two minutes were positive in nine patients, while only two of the blood cultures taken post-operatively were positive in group 2. The difference between the two groups was statistically significant (p < 0.05). The results of this study suggest that a transient bacteraemia occurs frequently in association withtonsillectomy, but the timing of culture sampling for its detection is important.

Keywords

TonsillectomyBacteriaBacteraemia
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 8 , August 2003 , pp. 619 - 623
Copyright
© Royal Society of Medicine Press Limited 2003

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