Tonsillar Surface Micro Flora: Does it Truly Represent Pathological Tonsillar Flora?. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2017]

Author(s):

1. Syed Nadeem Ul Haq: Department of ENT, Combined Military Hospital (CMH), Lahore, Pakistan

2. Zeeshan Ayub: Department of ENT, PAF Hospital, Mianwali, Pakistan

3. Azeema Ahmed: Department of Pathology, PAF Hospital, Mianwali, Pakistan

Abstract:

Objective: To determine the best method of identifying core tonsillar flora. Study Design: Quasi-experimental study. Place and Duration of Study: ENT Department, Combined Military Hospital, Lahore, from September 2013 to October 2015. Methodology: Eighty-seven patients of recurrent tonsillitis undergoing tonsillectomy were included. All the patients, after being anaesthetised, had surface swabs taken from the tonsillar surface followed by tonsillar aspiration with a 5cc syringe. Following tonsillectomy, the tonsils were sent for culture of core flora. All three specimens from each patient were cultured according to established criteria. Results: The patient population had 33 (37%) female and 54 (62%) male patients. Flora of 12 (13.8%) surface swabs and 68 (78.2%) tonsillar aspirates matched the flora cultured from core of the tonsils. Chi-square test showed this difference to be significant (p-value <0.001). Conclusion: Tonsillar aspiration gave a much more realistic picture of the tonsillar core flora as compared to surface swabs.

Page(s): 23-25

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 27, Issue: 1, Year: 2017

Keywords:

Core flora Tonsillectomy Surface swab Tonsillar aspiration

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