COMPARISON OF FNA VS SURFACE SWAB CULTURE IN ISOLATING CORE FLORA IN RECURRENT TONSILLITIS
Abstract
Background: Tonsillitis is one of the most common childhood afflictions. This prospective studywas designed to explore the possible role of fine needle aspiration of recurrently inflamed tonsils
in determining their core flora. Results: Seventy-seven patients at DHQ Hospital Haripur
undergoing tonsillectomy for recurrent tonsillitis were included in the study. Colonies grown from
fine needle aspirate and surface swab were compared with tonsillar core culture obtained after
tonsillectomy. The pathogens isolated by fine needle aspiration culture were not greatly different
from surface swab results in comparison to core isolates. Conclusion: The results of fine needle
aspirate do not appear to confer any advantage over surface swab in representing core flora. These
findings indicate no preferred clinical use for fine needle aspiration in the management of
recurrent tonsillitis.
Keywords: Fine needle aspiration (FNA), Culture, Tonsillitis
References
Komaroff AL, Aronson MD, Pass TM, Ervin CT, Branch WT
Jr, Schachter J. Serologic evidence of chlamydial and
mycoplasmal pharyngitis in adults. Science 1983;222:927-9.
Palumbo FN. Pediatric consideration of infections and
inflammations of Waldeyers ring. Otolaryngol Clin North Am
;20:311-6.
Bluestone CD. Status of tonsillectomy and adenoidectomy:
Laryngoscope 1977;87:1233-43.
Rose G, Samuel J, Vered I. Surface tonsillar micro flora vs.
deep tonsillar micro flora in recurrent acute tonsillitis. J
Laryngol Otol 1977;11:911-3.
Brooks I, Yocum P. Bacteriology of chronic tonsillitis in
young adults. Arch Otolaryngol 1984;110:803-5.
Surov JB, Handler SD, Teilen SA, Fleisher GR, Baranak GC.
Bacteriology of tonsillar surface and core in children.
Laryngoscope 1989;99:261-5.
Timon CI, Cafferkey MT, Walsh M. Fine needle aspiration in
recurrent tonsillitis. Arch Otolaryngol 1991;117:653-6.
Bailer R, Maran AGD, (Eds). Logan Turner's Textbook of
Otolaryngology, 10th ed. London: Jhon Wright; 1988.p. 363.
Mawson SR. Acute infections of middle ear cleft. In: Ballantyne
J, Groves J, (Eds). Scott Brown's Disease of Ear, Nose and
Throat. 4th ed. London: Butterworth's; 1979.p. 175-92.
Brooks I. The role of β-lactamase producing bacteria in
persistence of streptococcus tonsillitis. Rev Infect Dis
;6:601-7.
Everett MT. The cause of tonsillitis. Practitioner
;223:255-9.
Brodsky L, Moore L, Stanievich J. The role of haemophilus
influenza in the pathogenesis of tonsillar hypertrophy in
children laryngoscope 1988;98:1055-60.
DeDio RM, Tom LW, McGowan KL, Wetmore RF, Handler
SD, Potsic WP. Microbiology of the tonsils and adenoids in a
pediatric population. Arch Otolaryngol Head Neck Surg
;114:763-5.
Wetmore RF. Tonsils and adenoids. In: Bonita F Stanton,
Kliegman, Robert; Nelson, Waldo E, Behrman, Richard E,;
Jenson, Hal B, (Eds). Nelson Textbook of Pediatrics.
Philadelphia: Saunders; 2007. Chap 380.
Thuma P. Pharyngitis and tonsillitis. In: Hoekelman, Robert
A, (Eds). Primary Pediatric Care. St. Louis: Mosby; 2001.p.
-7.
Simon HB. Bacterial infections of the upper respiratory tract.
In: Dale, David. ACP Medicine, 2006 ed. (Two Volume Set)
(Webmd Acp Medicine). WebMD Professional Publishing.
ISBN 0-9748327-6-6.
Tonsillopharyngitis. Merck Manual of Diagnosis and Therapy
Professional Edition. Available at: www.merckmanuals.com
Downloads
Published
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.