Document Detail

Bacteremia following pediatric adenoidectomy.
MedLine Citation:
PMID:  15978675     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Adenoidectomy is frequently performed in children. The goals of this work were to determine the incidence of bacteremia during the adenoidectomy, to identify the microorganisms implicated, and to analyze the possible association of bacteremia with postoperative complications. METHODS: One hundred pediatric patients operated of adenoidectomy without preoperative antibiotic prophylaxis were prospectively included in this study. They had no immunosuppressive and/or cardiovascular risk factors, no antimicrobial therapy for at least 15 days prior to operation, and no fever 1 week before surgery. Venous blood samples were obtained 30 s and 20 min after the curettage of adenoidal tissue. RESULTS: The 33 and 14% of the samples were positive at 30 s and 20 min. The organism more commonly isolated was the streptococcus viridans. Bacteremia was only related to postoperative acute otitis media (p=0.012). CONCLUSIONS: Bacteremia exists after pediatric adenoidectomy, although it seldom correlates with clinical signs or symptoms. Postoperative acute otitis media is the only complication related to postsurgical bacteremia.
S Sánchez-Carrión; M P Prim; J I De Diego; N Sastre; P Peña-García
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Publication Detail:
Type:  Journal Article     Date:  2005-06-22
Journal Detail:
Title:  International journal of pediatric otorhinolaryngology     Volume:  69     ISSN:  0165-5876     ISO Abbreviation:  Int. J. Pediatr. Otorhinolaryngol.     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-18     Completed Date:  2006-02-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003603     Medline TA:  Int J Pediatr Otorhinolaryngol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  1547-50     Citation Subset:  IM    
Department of Otorhinolaryngology, La Paz Hospital, Autonomous University, C/Arzobispo Morcillo 12, 28029 Madrid, Spain.
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MeSH Terms
Acute Disease
Bacteremia / microbiology*
Child, Preschool
Deglutition Disorders / etiology
Middle Ear Ventilation
Otitis Media / microbiology
Pain / etiology
Postoperative Complications*
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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