2016, Number 1
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Otorrinolaringología 2016; 61 (1)
Clinical usefulness of the culture of material obtained by needle-aspiration of peritonsillar abscesses
Betances-Reinoso FA, Chiesa-Estomba CM, Osorio-Velásquez A, Domínguez- Collado L, Santidrian-Hidalgo C
Language: Spanish
References: 13
Page: 20-24
PDF size: 454.73 Kb.
ABSTRACT
Background: Peritonsillar abscess is the most common infection of
the deep tissues of the head and neck. It is caused by bacterial invasion
of peritonsillar space. Given the location of the process it requires early
diagnosis and treatment.
Objective: To evaluate the clinical usefulness of the culture of material
obtained by fine-needle aspiration of the peritonsillar abscess of
patients treated at the emergency room of Otolaryngology service of
the University Hospital Complex of Vigo, Pontevedra, Spain.
Material and Method: A descriptive and retrospective study of
49 patients diagnosed with peritonsillar abscess from January 2013
to December 2014; several variables of clinical and epidemiological
character and management of these patients were analyzed.
Results: The age of the patients included in the study ranged from
3 to 87 years with a mean of 33 years; 30 patients (61%) presented
negative growth in culture; in 12 (24.5%) culture was not carried out,
7 (14%) presented a positive culture; the most common pathogen was
Streptococcus pyogenes (four positive cultures).
Conclusions: Culture of the material obtained by fine-needle aspiration
of peritonsillar abscess systematically has limited clinical utility.
REFERENCES
Healy C. Peritonsillar abscess. En: Ferri FF, ed. Ferri’s Clinical Advisor 2011. Philadelphia: Mosby Elsevier, 2010:section 1.
Galioto NJ. Peritonsillar abscess. Am Fam Physician 2008;77:199-202.
Johnson RF, Stewart MG. The contemporary approach to diagnosis and management of peritonsillar abscess. Curr Opin Otolaryngol Head Neck Surg 2005;13:157-160.
Maharaj D, Rajah V, Hemsley S. Management of peritonsillar abscess. J Laryngol Otol 1991;105:743-745.
Jousimies-Somer H, Savolainen S, Mäkitie A, Ylikoski J. Bacteriological findings in peritonsillar abscesses in young adults. Clin Infect Dis 1993;16:292-298.
Brook I. Microbiology and management of peritonsillar, retropharyngeal and parapharyngeal abscesses. J Oral Maxillofac Surg 2004;62:1545-1550.
Roberts JR, Hedges JR. Diagnosis of peritonsillar abscess. En: Clinical procedures in Emergency Medicine. 5th ed. Philadelphia: Sounders Elsevier, 2010.
Shirley WP, Woolley AL, Wiatrak, BJ. Management of peritonsillar abscess. En: Flint: Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia: Mosby Elsevier, 2010.
Marioni G, Staffieri A, Parisi S, Marchese-Ragona R, et al. Rational diagnostic and therapeutic management of deep neck infections: analysis of 233 consecutive cases. Ann Otol Rhinol Laryngol 2010;119:181-187.
Freling N, Roele E, Schaefer-Prokop C, Fokkens W. Prediction of deep neck abscesses by contrast-enhanced computerized tomography in 76 clinically suspect consecutive patients. Laryngoscope 2009;119:1745-1752.
Yang SW, Lee MH, Lee YS, Huang SH, et al. Analysis of lifethreatening complications of deep neck abscess and the impact of empiric antibiotics. ORL J Otorhinolaryngol Relat Spec 2008;70:249-526.
Johnson RF, Stewart MG, Wright CC. An evidence-based review of the treatment of peritonsillar abscess. Otolaryngol Head Neck Surg 2003;128:332-343.
Ozbek C, Aygenc E, Tuna EU, Selcuk A, Ozdem C. Use of steroids in the treatment of peritonsillar abscess. J Laryngol Otol 2004;118:439-442.
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