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Post-tonsillectomy bacteraemia in children

Published online by Cambridge University Press:  29 June 2007

R. M. Walsh*
Affiliation:
Department of Communication and Neuroscience, University of Keele, Keele.
B. N. Kumar
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke on Trent, U.K.
A. Tse
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke on Trent, U.K.
P. W. Jones
Affiliation:
Department of Mathematics and Statistics, University of Keele, Keele.
P. S. Wilson
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke on Trent, U.K.
*
Address for correspondence: Rory M. Walsh, F.R.C.S. (ORL), Department of Communication and Neuroscience, University of Keele, Keele ST5 5BG.

Abstract

It has been postulated that the bacteraemia rate following guillotine tonsillectomy is lower than that following dissection tonsillectomy due to intra-operative compression of tonsillar blood vessels by the guillotine. The aim of this study was to evaluate the incidence of bacteraemia following dissection and guillotine tonsillectomy. Sixty-four patients undergoing elective tonsillectomy for recurrent acute tonsillitis were randomly selected, 32 underwent dissection tonsillectomy and 32 guillotine tonsillectomy. Positive intra-operative blood cultures were obtained in 16 patients (25 %), nine (28.1 %) of the dissection group and seven (21.8 %) of the guillotine group. There was no significant difference between the two methods (Chi-squared test, p = 0.77).

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

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References

Abrahamson, L. (1931) Subacute bacterial endocarditis following removal of septic foci. British Medical Journal 2: 89.CrossRefGoogle ScholarPubMed
Elliott, S. D. (1939) Bacteraemia following tonsillectomy. Lancet 2: 589592.CrossRefGoogle Scholar
Gaffney, R. J., Freeman, D. J., Walsh, M. A., Cafferkey, M. T. (1991) Differences in tonsil core bacteriology in adults and children: a prospective study of 262 patients. Respiratory Medicine 85: 383388.CrossRefGoogle ScholarPubMed
Gaffney, R. J., Walsh, M. A., McShane, D. P., Cafferkey, M. A. (1992) Post-tonsillectomy bacteraemia. Clinical Otolaryngology 17: 208210.CrossRefGoogle ScholarPubMed
Rhoads, P. S., Sibley, J. R., Billings, C. E. (1955) Bacteraemia following tonsillectomy. Journal of the American Medical Association 157: 877881.CrossRefGoogle ScholarPubMed
Rubin, M. I., Epstein, I. M., Werner, M. (1929) Blood cultures after tonsillectomy. American Journal of Diseases of Childhood 38: 726729.Google Scholar
Timon, C. I., McAllister, V. A., Walsh, M., Cafferkey, M. T. (1990) Changes in tonsillar bacteriology of recurrent acute tonsillitis: 1980 vs. 1989. Respiratory Medicine 84: 395400.CrossRefGoogle ScholarPubMed
Wake, M., Glossop, P. (1989) Guillotine and dissection tonsillectomy compared. Journal of Laryngology and Otology 103: 588591.CrossRefGoogle ScholarPubMed
Weligodapola, G. S. (1983) Comparative study of tonsillectomy performed by guillotine and dissection methods. Journal of Laryngology and Otology 97: 605606.CrossRefGoogle ScholarPubMed