[Comments on peritonsillar infections: a prospective study of 100 consecutive cases].
نویسندگان
چکیده
We read with great interest a work on healthcare in peritonsillar infections1 published recently by your Journal, and would find it highly constructive to reopen the debate on its therapeutic alternatives. Our centre offers tertiary healthcare coverage for a population of 350 000 and we can corroborate the epidemiological aspects reported by the authors regarding the distribution by age and gender, relationship with acute pharyngotonsillitis, second episodes and time between onset of symptoms and consultation. We conducted a prospective monitoring from January 2005 until June 2012, which allowed us to collect 812 cases and observe an increase in incidence (from 75 in 2005 to 129 in 2011), the appearance of bilaterality in 1.4%, and a similar amount of phlegmonous and abscessified forms (49.1% vs 50.9%). Adequate and direct training of colleagues in primary care has failed to reverse this trend. This implies that the symptoms are unpredictable, even in a context of immunosuppression as discussed by other authors. Therefore, we observed that our percentage of peritonsillar abscesses was greater than that presented by Costales-Marcos et al.,1 without reaching that reported by other communications.2 The diagnosis of peritonsillar abscess in our environment has been established according to puncture-aspiration of suppurative collections or to the presence thereof through incision and drainage of the suspicious region under
منابع مشابه
[Peritonsillar infections: prospective study of 100 consecutive cases].
INTRODUCTION Peritonsillar infection is the most frequent complication of acute tonsillitis. Peritonsillar infections are collections of purulent material, usually located between the tonsillar capsule and the superior constrictor of the pharynx. Peritonsillar infection can be divided into abscess and cellulitis. MATERIAL AND METHODS We prospectively analysed the clinical data from 100 patien...
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OBJECTIVES/HYPOTHESIS The objectives of this study were to evaluate safety and patient tolerance of intraoral ultrasound and to evaluate efficacy of intraoral ultrasound in the diagnosis of peritonsillar infections. STUDY DESIGN Prospective single-cohort study involving adult patients (age>18 years) with evaluation consistent with possible peritonsillar abscess. METHODS Twenty-four patients...
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Microbiology of Peritonsillar Abscess: A Prospective Study
Introduction: Peritonsillar abscess remains a common deep infection of the head and neck. We performed culture and sensitivity studies on pus drained from a peritonsillar abscess. The objectives were to identify the bacterial flora and to compare the relative efficacies of three-point needle aspiration and incision and drainage in the initial management of peritonsillar abscess. Materials and M...
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عنوان ژورنال:
- Acta otorrinolaringologica espanola
دوره 64 1 شماره
صفحات -
تاریخ انتشار 2013