A STUDY ON TONSIL CORE CULTURE IN CHRONIC AND RECURRENT TONSILLITIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 29
Abstract
BACKGROUND Palatine tonsils are the components of Mucosa Associated Lymphoid Tissue (MALT) of pharynx. Embryologically, they develop from second branchial arch and play an important role in immune system. These are lined by stratified squamous epithelium in continuation with pharyngeal mucosa. The surface epithelium of tonsil will invaginate to form crypts. These crypts contain cheesy material which constitute food debris, keratin and bacteria. Infection of tonsil, tonsillitis was a more common infection of humans. During tonsillitis, the bacteria inhabiting the crypts will multiply and secrete toxins. This inflammation of tonsil tissue will lead to WBC infiltration, finally leading to swollen and congested tonsils. Antibiotics play an important role in treatment of acute tonsillitis. Appropriate antibiotic selection from tonsil surface swab culture for an adequate duration will prevent the continuation and spread of infection. Contrary to this surface swab culture oriented antibiotic selection, few studies reported that the bacteria causing tonsillitis may also be present in deep tonsillar tissues. Hence, the organisms grown from tonsillar surface swab cultures may not be representative of actual infective organism always. MATERIALS AND METHODS This descriptive study was carried out as a prospective study among 60 patients who underwent tonsillectomy at a tertiary care hospital. Data was collected about various socio-demographic factors, clinical information and details about routine lab examinations. After tonsillectomy, the specimen was transferred in sterile water for aerobic culture and KOH mount. RESULTS Out of 33 positive cultures, S. aureus (48.5%) was grown majorly followed by H. influenzae (18.2%), S. pyogenes (12.1%), Pseudomonas (9.1%), K. pneumoniae (6.1%), S. pneumoniae (3%) and no fungal elements were detected. CONCLUSION Surface cultured micro-organism represent more of normal commensals, which is a false indicator of the pathogen in the core. The findings of this study are in support of directing rational therapy against tonsillar core pathogens like Staph. aureus, H. influenza, Pseudomonas, Klebsiella with antibiotics like Gentamycin, Amikacin and Ciprofloxacin.
Authors and Affiliations
Ali Shaik, Thota Gopi Krishna, Asha Parveen Sayyad
Keywords
Related Articles
- EP ID EP538425
- DOI 10.14260/jemds/2018/745
- Views 75
- Downloads 0
MORPHOLOGICAL STUDY OF ATTACHMENT OF COSTOCLAVICULAR LIGAMENT ON THE CLAVICLE IN SOUTH INDIAN POPULATION
BACKGROUND Clavicle is an important bone concerned with movements of upper limb. It has a shaft and two ends, sternal end and acromial end. Inferior surface of the sternal end presents with an impression called costoclav...
CLINICAL PROFILE AND MANAGEMENT OF LIVER ABSCESS (AMOEBIC AND NON-AMOEBIC) AND COMPARISON BETWEEN CONSERVATIVE MANAGEMENT AND PIGTAIL CATHETERISATION IN NORTH-CENTRAL INDIA
BACKGROUND Liver abscess is a common and major health problem in the lower socio-economic group. It can be managed with drugs, ultrasoundguided needle aspiration and open surgical drainage. The aim of the study was to as...
SENSITIVITY OF ULTRASOUND IN DIAGNOSIS OF BENIGN BILE DUCT PATHOLOGIES COMPARED TO MRCP
BACKGROUND Surgical or obstructive jaundice requires precise evaluation of the cause and level of obstruction to guide management. Ultrasound is routinely used as a first line imaging investigation in evaluation of bilia...
PERI-OPERATIVE SYNTOCINON INFUSION IN LSCS
BACKGROUND Oxytocin for the purposes of augmentation and induction of labour is one of the most frequently used medications in obstetrics. Recent studies show that oxytocin is used in over 50% of labouring women in some...
EFFECT OF INTRAVENOUS LIDOCAINE, INTRAVENOUS ESMOLOL AND INTRAVENOUS CLONIDINE ON HAEMODYNAMIC RESPONSES TO LARYNGOSCOPY AND ORO-TRACHEAL INTUBATION IN NORMOTENSIVE PATIENTS: A DOUBLE BLINDED, COMPARITIVE STUDY
The pressure response to laryngoscopy and endotracheal intubation is without sequel in healthy individuals. In patients with pre-existing diseases, may precipitate myocardial ischemia, arrhythmias, infarction and...