Document Detail

Fine-needle aspiration as a diagnostic tool for recurrent tonsillitis.
MedLine Citation:
PMID:  12964506     Owner:  NLM     Status:  MEDLINE    
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.
E Inci; B Karakullukçu; G Aygün; H Yaşar; O Enver; C Yağiz
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
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:
Created Date:  2003-09-10     Completed Date:  2004-04-27     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0346411     Medline TA:  J Int Med Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  307-11     Citation Subset:  IM    
Department of Otolaryngology, Head and Neck Surgery, Istanbul University Cerrahpaşa Medical Faculty, Istanbul, Turkey.
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MeSH Terms
Bacteria / isolation & purification*
Bacterial Infections / diagnosis*
Bacterial Typing Techniques
Biopsy, Fine-Needle*
Child, Preschool
Palatine Tonsil / microbiology*
Sensitivity and Specificity
Tonsillitis / diagnosis*,  microbiology

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

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