Risk factors for bacteremia during and after adenoidectomy and/or adenotonsillectomy

Esposito, Susanna; Marchisio, Paola; Capaccio, Pasquale; Bellasio, Marta; Semino, Margherita; Dusi, Elisa; Colombo, Raffaele; Principi, Nicola

doi:10.1016/j.jinf.2008.12.003

Cited by 14 publications

(15 citation statements)

References 31 publications

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“…Esposito et al evaluated 130 patients with adenoidectomy and/or tonsillectomy. They found positive blood cultures in 20 (24.4%) of 82 adenotonsillectomy patients and 4 (8.3%) of 48 adenoidectomy patient [16]. Soldado et al found positive blood cultures in 41 (40.1%) of 102 tonsillectomy patients [17].…”

Section: Discussionmentioning

confidence: 98%

The comparison of bacteremia and amount of bleeding during adenotonsillectomy

Koç

Gürbüzler

Yenişehirli

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 98%

The comparison of bacteremia and amount of bleeding during adenotonsillectomy

Koç

Gürbüzler

Yenişehirli

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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“…The differences among the rates of bacteremia before and after tonsillectomy may be attributed to various factors, such as different blood culture gathering times, blood culture methods, amount of bleeding during the surgery, and history of recurrent Acute Otitis Media (rAOM) or recurrent Tonsillopharyngitis (rTF) in the patient [30–32]. …”

Section: Discussionmentioning

confidence: 99%

“…Also, Esposito et al showed that bacteremia was significantly more associated with adenotonsillectomy compared to adenoidectomy and was significantly more frequent in the patients with a history of rAOM or rTF [30]. …”

Section: Discussionmentioning

confidence: 99%

Posttonsillectomy Bacteremia and Comparison of Tonsillar Surface and Deep Culture

Shishegar

Ashraf

2014

Advances in Preventive Medicine

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Objective. This study aimed to identify the microorganisms of surface and depth of tonsils and whether these microorganisms bring the menace of bacteremia during tonsillectomy in the children under surgery. Materials and Methods. The culture specimens were taken from surface and depth of tonsil from the patients suffering from chronic tonsillitis at the time of operation. Also, 10 mL venous blood samples were taken 5 minutes before and after the operation for microbiological study. Results. According to the results, 112 (76.1%) and 117 (79.6%) cultures from surface and depth of tonsils represented multiple microorganisms, respectively. Besides, staphylococci coagulase positive was the most common organism in both surface and depth of tonsils. None of the preoperation blood cultures were positive, while 3 postoperation blood cultures (2.1%) were positive. Staphylococci coagulase negative and alpha hemolytic streptococcus were detected in 2 cases (1.4%) and 1 case (0.7%), respectively. Conclusion. In the present study, the two cultured sites were almost similar regarding the types of isolated microorganisms. Our results suggested that bacteremia might occur after tonsillectomy. Therefore, to avoid the possible dramatic outcomes after tonsillectomy, pre- and postoperation attendances are essential.

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“…Of note, all of these patients either underwent tonsillectomy for infectious indications or were ill the day of the procedure. This seems to correlate with the hypothesis proposed by Esposito et al that the risk of bacteremia may not only be related to surgical procedure but also to the indication for the operation …”

Section: Discussionmentioning

confidence: 99%

“…Of the pathogens isolated from positive blood cultures, Soldado et al reported that 56% grew Hemophilus influenzae , 36.5% grew Streptococcus viridans , and only one patient (3%) grew group A beta‐hemolytic Streptococcus . Similarly, Esposito et al reported that of patients with positive blood cultures during adenotonsillectomy, 5% were group A beta‐hemolytic Streptococcus . However, although bacteremia is common, infectious complications postoperatively are extremely rare.…”

Section: Introductionmentioning

confidence: 99%

Invasive group AStreptococcus resulting in sepsis and abdominal wall abscess after adenotonsillectomy

2014

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Systemic infectious complications following adenotonsillectomy are exceedingly rare. We describe an otherwise healthy 2-year-old patient who developed group A beta-hemolytic Streptococcus sepsis and presumptive scarlet fever 3 days after an uncomplicated adenotonsillectomy. After resolution of fever, rash, and discharge home on antibiotics, the patient returned on postoperative day 10 with an abdominal wall abscess. This is the first reported case of an abdominal wall abscess as a complication of adenotonsillectomy. This case demonstrates that an awareness of unexpected infectious complications of adenotonsillectomy should be a part of postsurgical management. Laryngoscope, 125:1230-1232, 2015.

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Risk factors for bacteremia during and after adenoidectomy and/or adenotonsillectomy

Cited by 14 publications

References 31 publications

The comparison of bacteremia and amount of bleeding during adenotonsillectomy

The comparison of bacteremia and amount of bleeding during adenotonsillectomy

Posttonsillectomy Bacteremia and Comparison of Tonsillar Surface and Deep Culture

Invasive group AStreptococcus resulting in sepsis and abdominal wall abscess after adenotonsillectomy

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