The role of bacteriological studies in the management of  peritonsillar abscess

Tachibana, Tomoyasu; Orita, Yorihisa; Takao, Soshi; Ogawara, Yuya; Matsuyama, Yuko; Shimizu, Aiko; Fujisawa, Iku; Nakada, Michihiro; Sato, Yasuharu; Nishizaki, Kazunori

doi:10.3950/jibiinkoka.120.772

Cited by 2 publications

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“…Tachibana et al previously showed no difference in S-CRP levels between AT and PTA patients. Our observations were similar [14].…”

Section: Discussionsupporting

confidence: 90%

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Peritonsillar abscess may not always be a complication of acute tonsillitis: A prospective cohort study

Sanmark

Wikstén²,

Välimaa³

et al. 2020

Preprint

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ABSTRACTThe present study aimed to specify diagnostics for peritonsillar abscesses (PTAs) and to clarify the role of minor salivary glands. This prospective cohort study included 112 patients with acute tonsillitis (AT) and PTA recruited at a tertiary hospital emergency department between February and October 2017. All patients completed a questionnaire concerning their current disease. Serum amylase (S-Amyl) and C-reactive protein (S-CRP) levels, tonsillar findings, and pus aspirate samples and throat cultures were analyzed. Eight of 58 PTA patients (13.8%) had no signs of tonsillar infection. The absence of tonsillar erythema and exudate was associated with low S-CRP (p<0.001) and older age (p<0.001). We also observed an inverse correlation between S-Amyl and S-CRP levels (AT, r= −0.519; PTA, r= −0.353). Therefore, we observed a group of PTA patients without signs of tonsillar infection who had significantly lower S-CRP levels than other PTA patients. These findings support that PTA may be caused by an etiology other than AT. Variations in the S-Amyl levels and a negative correlation between S-Amyl and S-CRP levels may indicate that minor salivary glands are involved in PTA development.LEVEL OF EVIDENCE1b

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“…Tachibana et al previously showed no difference in S-CRP levels between AT and PTA patients. Our observations were similar [14].…”

Section: Discussionsupporting

confidence: 90%

“…Tachibana et al reported higher serum leukocyte levels in PTA patients than AT patients, but did not observe differences in CRP levels. In addition, higher serum CRP (S-CRP) levels predicted slower healing after PTA; the mean S-CRP in PTA patients was 85 mg/l (1.3-380 mg/l) [13, 14].…”

Section: Introductionmentioning

confidence: 99%

Peritonsillar abscess may not always be a complication of acute tonsillitis: A prospective cohort study

Sanmark

Wikstén²,

Välimaa³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…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 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%

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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The role of bacteriological studies in the management of peritonsillar abscess

Cited by 2 publications

References 0 publications

Peritonsillar abscess may not always be a complication of acute tonsillitis: A prospective cohort study

Peritonsillar abscess may not always be a complication of acute tonsillitis: A prospective cohort study

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

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