Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Microbiology of the Tonsils and Adenoids in a Pediatric Population

Microbiology of the Tonsils and Adenoids in a Pediatric Population Abstract • To investigate the microbial flora of the tonsils and adenoids, the core tissue from the tonsils and adenoids of 50 children undergoing tonsillectomy and adenoidectomy for either recurrent infection or airway obstruction was cultured aerobically and anaerobically, and the number of bacterial colonies was quantitated. The most common organisms isolated were α-hemolytic streptococci, nonpathogenic Neisseria species, Haemophilus species, Staphylococcus aureus, and Corynebacterium species. No anaerobes were identified. Bacterial isolates from the tonsils and adenoids were similar in number and frequency of occurrence. Potential pathogenic bacteria (Haemophilus species, S aureus, β-hemolytic streptococci, and Streptococcus pneumoniae) were identified in 40 patients. Seventy-three percent of these patients shared a common pathogen in tonsil and adenoid tissue. Haemophilus species were recovered in 54% of patients and S aureus in 46%. No significant difference exists between the type and number of pathogens in patients undergoing adenotonsillectomy for recurrent infection or obstruction. (Arch Otolaryngol Head Neck Surg 1988;114:763-765) References 1. Brook I, Yocum P, Friedman EM: Aerobic and anaerobic bacteria in tonsils of children with recurrent tonsillitis . Ann Otol Rhinol Laryngol 1981;90:261-263. 2. Rosen G, Samuel J, Vered I: Surface tonsillar microflora vs deep tonsillar microflora in recurrent acute tonsillitis . J Laryngol Otol 1977;91:911-913.Crossref 3. Pillsbury HC, Kveton JF, Sasaki CT, et al: Quantitative bacteriology in adenoid tissue . Otolaryngol Head Neck Surg 1981;89:355-363. 4. Brook I, Foote PA: Comparison of the microbiology of recurrent tonsillitis between children and adults . Laryngoscope 1986;96:1385-1388.Crossref 5. Brook I, Hirokawa R: Treatment of patients with a history of recurrent tonsillitis due to group A β-hemolytic streptococci . Clin Pediatr 1985;24:331-336.Crossref 6. Brook I, Yocum P, Shah K: Surface vs core tonsillar aerobic and anaerobic flora in recurrent tonsillitis . JAMA 1980;244:1695-1698.Crossref 7. Brook I: Aerobic and anaerobic bacteriology of adenoids in children: A comparison between patients with chronic adenotonsillitis and adenoid hypertrophy . Laryngoscope 1981;91:377-382. 8. Surow JB, Handler SD, Telian SA, et al: Bacteriology of tonsil surface and core in children . Laryngoscope , in press. 9. Ruokonen J, Sandelin K, Mäkinen J: Adenoids and otitis media with effusion . Ann Otol Rhinol Laryngol 1979;88:166-171. 10. Brook I, Yocum P: Bacteriology of chronic tonsillitis in young adults . Arch Otolaryngol Head Neck Surg 1984;110:803-805.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Loading next page...
 
/lp/american-medical-association/microbiology-of-the-tonsils-and-adenoids-in-a-pediatric-population-REg0guDaMa

References (10)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1988.01860190067025
Publisher site
See Article on Publisher Site

Abstract

Abstract • To investigate the microbial flora of the tonsils and adenoids, the core tissue from the tonsils and adenoids of 50 children undergoing tonsillectomy and adenoidectomy for either recurrent infection or airway obstruction was cultured aerobically and anaerobically, and the number of bacterial colonies was quantitated. The most common organisms isolated were α-hemolytic streptococci, nonpathogenic Neisseria species, Haemophilus species, Staphylococcus aureus, and Corynebacterium species. No anaerobes were identified. Bacterial isolates from the tonsils and adenoids were similar in number and frequency of occurrence. Potential pathogenic bacteria (Haemophilus species, S aureus, β-hemolytic streptococci, and Streptococcus pneumoniae) were identified in 40 patients. Seventy-three percent of these patients shared a common pathogen in tonsil and adenoid tissue. Haemophilus species were recovered in 54% of patients and S aureus in 46%. No significant difference exists between the type and number of pathogens in patients undergoing adenotonsillectomy for recurrent infection or obstruction. (Arch Otolaryngol Head Neck Surg 1988;114:763-765) References 1. Brook I, Yocum P, Friedman EM: Aerobic and anaerobic bacteria in tonsils of children with recurrent tonsillitis . Ann Otol Rhinol Laryngol 1981;90:261-263. 2. Rosen G, Samuel J, Vered I: Surface tonsillar microflora vs deep tonsillar microflora in recurrent acute tonsillitis . J Laryngol Otol 1977;91:911-913.Crossref 3. Pillsbury HC, Kveton JF, Sasaki CT, et al: Quantitative bacteriology in adenoid tissue . Otolaryngol Head Neck Surg 1981;89:355-363. 4. Brook I, Foote PA: Comparison of the microbiology of recurrent tonsillitis between children and adults . Laryngoscope 1986;96:1385-1388.Crossref 5. Brook I, Hirokawa R: Treatment of patients with a history of recurrent tonsillitis due to group A β-hemolytic streptococci . Clin Pediatr 1985;24:331-336.Crossref 6. Brook I, Yocum P, Shah K: Surface vs core tonsillar aerobic and anaerobic flora in recurrent tonsillitis . JAMA 1980;244:1695-1698.Crossref 7. Brook I: Aerobic and anaerobic bacteriology of adenoids in children: A comparison between patients with chronic adenotonsillitis and adenoid hypertrophy . Laryngoscope 1981;91:377-382. 8. Surow JB, Handler SD, Telian SA, et al: Bacteriology of tonsil surface and core in children . Laryngoscope , in press. 9. Ruokonen J, Sandelin K, Mäkinen J: Adenoids and otitis media with effusion . Ann Otol Rhinol Laryngol 1979;88:166-171. 10. Brook I, Yocum P: Bacteriology of chronic tonsillitis in young adults . Arch Otolaryngol Head Neck Surg 1984;110:803-805.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jul 1, 1988

There are no references for this article.