| Fine-needle aspiration as a diagnostic tool for recurrent tonsillitis. | |
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MedLine Citation:
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PMID: 12964506 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute tonsillitis is a common childhood disease, but repeated antibiotic treatment may fail, leading to tonsillectomy. Superficial swab cultures do not sufficiently represent the core bacteria present, but fine-needle aspiration may be a promising diagnostic method. We evaluated 58 patients undergoing tonsillectomy, and took superficial and core swabs, and fine-needle aspirations. Staphylococcus aureus was the most common bacterial pathogen identified, present in 26 out of 50 (52%) positive core cultures, followed by Haemophilus influenza in 13 positive core cultures (26%), and group A beta-haemolytic streptococci in 10 positive core cultures (20%). Fine-needle aspiration detected 33 out of 50 positive core cultures (66%), whereas superficial swab culture detected 18 of 50 (36%); the difference being statistically significant. All pathogens detected by superficial swabs and fine-needle aspiration were detected in core cultures. The sensitivity and specificity of fine-needle aspiration were 66% and 100%, respectively, compared with 36% and 100% for superficial swabs. Fine-needle aspiration is therefore a promising method for detecting core bacteria in patients with recurrent tonsillitis. |
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Authors:
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E Inci; B Karakullukçu; G Aygün; H Yaşar; O Enver; C Yağiz |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Journal of international medical research Volume: 31 ISSN: 0300-0605 ISO Abbreviation: J. Int. Med. Res. Publication Date: 2003 Jul-Aug |
Date Detail:
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Created Date: 2003-09-10 Completed Date: 2004-04-27 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0346411 Medline TA: J Int Med Res Country: England |
Other Details:
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Languages: eng Pagination: 307-11 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology, Head and Neck Surgery, Istanbul University Cerrahpaşa Medical Faculty, Istanbul, Turkey. enderinci@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bacteria
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isolation & purification* Bacterial Infections / diagnosis* Bacterial Typing Techniques Biopsy, Fine-Needle* Child Child, Preschool Female Humans Male Palatine Tonsil / microbiology* Recurrence Sensitivity and Specificity Tonsillitis / diagnosis*, microbiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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