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Epidemiological and Microbiological Aspects of the Peritonsillar Abscess

Author

Listed:
  • David Slouka

    (Department of Otorhinolaryngology, University Hospital in Pilsen, Faculty of Medicine in Pilsen, Charles University, 300 00 Pilsen, Czech Republic)

  • Jana Hanakova

    (Department of Otorhinolaryngology, University Hospital in Pilsen, Faculty of Medicine in Pilsen, Charles University, 300 00 Pilsen, Czech Republic)

  • Tomas Kostlivy

    (Department of Otorhinolaryngology, University Hospital in Pilsen, Faculty of Medicine in Pilsen, Charles University, 300 00 Pilsen, Czech Republic)

  • Petr Skopek

    (Department of Otorhinolaryngology, University Hospital in Pilsen, Faculty of Medicine in Pilsen, Charles University, 300 00 Pilsen, Czech Republic)

  • Vojtech Kubec

    (Department of Otorhinolaryngology, University Hospital in Pilsen, Faculty of Medicine in Pilsen, Charles University, 300 00 Pilsen, Czech Republic)

  • Vaclav Babuska

    (Department of Medical Chemistry and Biochemistry, Faculty of Medicine in Pilsen, Charles University, 300 00 Pilsen, Czech Republic)

  • Ladislav Pecen

    (Department of Immunochemistry Diagnostics, University Hospital in Pilsen, Faculty of Medicine in Pilsen, Charles University, 300 00 Pilsen, Czech Republic)

  • Ondřej Topolcan

    (Department of Immunochemistry Diagnostics, University Hospital in Pilsen, Faculty of Medicine in Pilsen, Charles University, 300 00 Pilsen, Czech Republic)

  • Radek Kucera

    (Department of Immunochemistry Diagnostics, University Hospital in Pilsen, Faculty of Medicine in Pilsen, Charles University, 300 00 Pilsen, Czech Republic)

Abstract

Peritonsillar abscess (PTA) is the most common complication of tonsillitis. Cultivation usually reveals a wide spectrum of aerobic and anaerobic microbiota. This retrospective study compared PTA incidence and the spectrum of individual microbial findings in groups of patients divided by gender, age, and season. Of the 966 samples cultivated, a positive cultivation finding was detected in 606 patients (62.73%). Cultivation findings were negative in 360 (37.27%), meaning no pathogen was present or only common microbiota was cultivated. The highest incidence of PTA was found in group I patients (19–50 years) ( p ≤ 0.0001) and the most frequently cultured pathogens was Streptococcus pyogenes (36.23%). Gender seemed to have an influence on the results, with higher incidence found in males ( p ≤ 0.0001). The analysis of correlation between PTA incidence and season did not yield statistically significant results ( p = 0.4396) and no statistically significant differences were observed in individual pathogen frequency. PTA had a higher incidence in adult males and a slightly higher incidence in girls in childhood. The following findings are clinically significant and have implications for antibiotic treatment strategy: (1) the most frequently cultivated pathogen was Streptococcus pyogenes ; (2) an increased incidence of anaerobes was proven in the oldest group (>50 years).

Suggested Citation

  • David Slouka & Jana Hanakova & Tomas Kostlivy & Petr Skopek & Vojtech Kubec & Vaclav Babuska & Ladislav Pecen & Ondřej Topolcan & Radek Kucera, 2020. "Epidemiological and Microbiological Aspects of the Peritonsillar Abscess," IJERPH, MDPI, vol. 17(11), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:4020-:d:367652
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    Cited by:

    1. David Slouka & Štěpánka Čejková & Jana Hanáková & Petr Hrabačka & Stanislav Kormunda & David Kalfeřt & Alena Skálová & Václav Šimánek & Radek Kucera, 2021. "Risk of Postoperative Bleeding in Tonsillectomy for Peritonsillar Abscess, as Opposed to in Recurrent and Chronic Tonsillitis—A Retrospective Study," IJERPH, MDPI, vol. 18(4), pages 1-12, February.

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