Bacteriology of peritonsillar abscess: the changing trend and predisposing factors

Tsai, Yi-Wen; Liu, Yu-Hsi; Su, Hsing‐Hao

doi:10.1016/j.bjorl.2017.06.007

Cited by 15 publications

(13 citation statements)

References 44 publications

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“…In our study, pharyngotonsillar infections were the most common cause of maxillofacial infections. This result is consistent with some previous studies [ 10 , 11 , 12 , 13 ]. The second most common identified cause of oral and maxillofacial infections was odontogenic infections.…”

Section: Discussionsupporting

confidence: 94%

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Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section

Kamiński¹,

Błochowiak

Kołomański³

et al. 2022

JCM

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The treatment of oral and maxillofacial infections is based on a recognized algorithm that may require modification under the influence of various local and systemic factors. The aim of this study was to present a comprehensive and microbiological profile of oral and maxillofacial infections, and explore possible correlations between the course of an infection and selected systemic factors based on the medical records of 329 patients affected by the disease. We identified most common clinical, demographic, bacterial, and laboratory parameters specific for these infections. There were statistically significant differences in Erythrocyte Sedimentation Rate, number of accompanying diseases, otalgia, dyspnea, and speech difficulties occurrence and neck space involvement between diabetic and non-diabetic patients. The duration of hospitalization and accompanying diseases correlated positively with the patient age and white blood cell count, and C-reactive protein value negatively correlated with age. The primary cause of infections, age, and comorbid diseases can modify the infection course and increase the risk of developing serious complications. It confirms the need for effective and targeted bacterial treatment in the early stages of infections. Age and general diseases are the most important systemic factors determining the infection symptoms and laboratory parameters assessing the severity of the inflammatory process.

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Section: Discussionsupporting

confidence: 94%

“…The results obtained in our study on demographic data and their distribution depending on gender and age are similar to previous studies [ 6 , 12 , 13 , 14 ]. In accordance with other studies, our research confirmed that oral and maxillofacial infections occur most frequently in the age group 21–40 [ 6 ].…”

Section: Discussionsupporting

confidence: 92%

Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section

Kamiński¹,

Błochowiak

Kołomański³

et al. 2022

JCM

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“…Smoking is associated with higher incidence of periodontal disease, 16 decreases mucosal immunity, 17 and alters the local bacterial flora 18 . Some authors have stated that smoking is associated with increased anaerobic infections, 8,19 whereas others reported no differences in the types of infections associated with smoking 6,20–21 . Smoking induces chronic irritation and inflammation of the laryngeal mucosa 22 .…”

Section: Discussionmentioning

confidence: 99%

“…18 Some authors have stated that smoking is associated with increased anaerobic infections, 8,19 whereas others reported no differences in the types of infections associated with smoking. 6,20,21 Smoking Adjusted model for age, sex, income, region of residence, hypertension, diabetes, dyslipidemia, obesity, smoking state (current smoker compared to nonsmoker or past smoker), and frequency of alcohol consumption (drinker compared to nondrinker).…”

Section: Discussionmentioning

confidence: 99%

Smoking and Alcohol Consumption Are Associated With the Increased Risk of Peritonsillar Abscess

2020

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Objectives/Hypothesis: The purpose of this study was to evaluate the relationship among smoking, alcohol consumption, and peritonsillar abscess in a Korean population. Study Design: Individuals ≥40 years old from the Korean National Health Insurance Service-Health Screening Cohort were assessed from 2002 to 2013. Methods: In total, 1,285 peritonsillar abscess participants were matched with 5,140 controls at a ratio of 1:4 with respect to age group, sex, income group, region of residence, hypertension, diabetes, and dyslipidemia. We analyzed the participants' previous histories of smoking (current smokers vs. nonsmokers or past smokers) and alcohol consumption (drinkers vs. nondrinkers) in the peritonsillar abscess and control groups. Peritonsillar abscess was defined using the International Classification of Disease-10 code J36 combined with claim codes for incision and drainage or aspiration. Crude and adjusted odds ratios (ORs) were analyzed using unconditional logistic regression analyses, and 95% confidence intervals (CI) were calculated. Results: The rates of smoking and consuming alcohol were higher in the peritonsillar abscess group than in the control group. The adjusted OR of smoking for peritonsillar abscess was 1.23 (95% CI = 1.06-1.44, P = .009), and that of alcohol consumption was 1.18 (95% CI = 1.02-1.36, P = .024). Conclusion: The odds of smoking and alcohol consumption were increased in peritonsillar abscess patients compared to those in the control group.

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“…It is often the case that mixed aerobic and anaerobic bacteria can be identified through pus culturing. Tsai et al reported that polymicrobial growth was observed in 57.39% of pus cultures [ 4 ]. Empirical antibiotics targeting both aerobes and anaerobes would be appropriate.…”

Section: Discussionmentioning

confidence: 99%

Parapharyngeal Abscesses Caused by Group G Streptococcus

Tajima

Anzai

Matsuoka

et al. 2018

Case Reports in Otolaryngology

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Deep neck abscess is a life-threatening infection that causes laryngeal edema and upper airway occlusion. The predominant bacterial species involved in this disorder is group A streptococcus. Group G streptococcus (GGS) constitutes the normal commensal flora of the human upper airway. Although rarely, it can cause pharyngitis, tonsillitis, and peritonsillar abscess. Here, we report a case of a woman with parapharyngeal abscess caused by GGS. A 56-year-old woman presented to the emergency department with complaints of sore throat and cervical swelling, and a diagnosis of parapharyngeal abscess was established. She had upper airway occlusion, requiring urgent tracheostomy. Endoscopic incision and drainage of the abscess using a specially designed, rigid curved laryngoscope was successfully performed. Since a rigid curved laryngoscope creates a wide viewing field and working space, it was useful for incision and drainage of the parapharyngeal abscess.

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Bacteriology of peritonsillar abscess: the changing trend and predisposing factors

Cited by 15 publications

References 44 publications

Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section

Oral and Maxillofacial Infections—A Bacterial and Clinical Cross-Section

Smoking and Alcohol Consumption Are Associated With the Increased Risk of Peritonsillar Abscess

Parapharyngeal Abscesses Caused by Group G Streptococcus

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