KBB-Forum 2003 , Cilt 2, Sayı 2


Sinan KOCATÜRK, MD1; Tayfur DEMİRAY, MD2; Tanzer ÇAKIR, MD1; Gül BAHAR, MD2; Ünsal ERKAM, MD1; Ali MERT, MD2
1SSK Ankara Eğitim Hastanesi, II. KBB Kliniği, Ankara, Türkiye
2SSK Ankara Eğitim Hastanesi, Mikrobiyoloji Kliniği, Ankara, Türkiye
AIM: To determine the transient bacteriemia ratios during the elective tonsillectomy and compare the bacteria detected with superficial/central tonsillar cultures.

METHODS: 46 patients were included in this study. Preoperative surface swab cultures, intraoperative tonsil central swab cultures, preoperative and postoperative blood culture samples were obtained. Antibiotic sensitivity tests were done for the detected pathogen bacteria.

RESULTS: Bacteriemia was detected in six patients (%13). In 5 of the patients (%83.3), isolated microorganism (S.aureus) in the blood culture was the same as the one in central swab cultures. In 5 of the 6 cases with bacteriemia (%83.3) resistance to penicillin was detected.

CONCLUSION: Bacteriemia at the rate of 13% and resistance to penicillin at the rate of 83.3% warrants the necessity of antibiotic prophylaxis especially in risky patients. The similarity of the pathogens detected in the blood to the central tonsil pathogens at the rate of %83.3 (5/6) suggested that it was not appropriate to choose an antibiotic based on superficial tonsil cultures. Keywords : bacteriemia, tonsillectomy, cultures