Abstract
Objective: To determine and to compare the core and the surface bacteriologies of the adenoids of the pediatric patients with obstructive adenoid hypertrophy, recurrent adenotonsillitis, and otitis media with effusion and to evaluate antibiotic susceptibility test patterns of the potential pathogen bacteria. Material and methods: This prospective study was performed on 230 pediatric patients operated for either OAH, RAT, and OME during the time period from April 2014 to July 2017 in the Otorhinolaryngology Clinic of Adıyaman University Education and Research Hospital. Results: The potential pathogen bacteria isolated from the adenoids' surfaces and cores of obstructive adenoid hypertrophy, recurrent adenotonsillitis, and otitis media with effusion groups were as follows: 33/148 (22.3%)-17/148 (11.5%), 9/61 (14.8%)-5/61 (8.2%), and 6/21 (28.6%)-3/21 (14.3%) (p>0.05). Conclusion: There was not statistical difference between the adenoids' surface and core cultures of obstructive adenoid hypertrophy, recurrent adenotonsillitis, and otitis media with effusion.
Highlights
MethodsThis prospective study was performed on pediatric patients operated for either obstructive adenoid hypertrophy (OAH), recurrent adenotonsillitis (RAT), and Otitis media with effusion (OME) during the time period from April 2014 to July 2017 in the OtorhinolaryngologyClinic of Adıyaman University Education and Research Hospital
Children with infections associated with adenoid are referred to both pediatric and otolaryngology clinics and they are treated with multiple courses of antibiotics before surgery
While obstructive adenoid hypertrophy (OAH) presents with triad of snoring, daytime and nighttime mouthbreathing, and hyponasal speech, recurrent adenotonsillitis (RAT) reveals several episodes of adenotonsillitis, and Otitis media with effusion (OME) usually manifests with conductive hearing loss
Summary
This prospective study was performed on pediatric patients operated for either OAH, RAT, and OME during the time period from April 2014 to July 2017 in the OtorhinolaryngologyClinic of Adıyaman University Education and Research Hospital. This prospective study was performed on pediatric patients operated for either OAH, RAT, and OME during the time period from April 2014 to July 2017 in the Otorhinolaryngology. The present study was designed prospectively and performed on 230 pediatric patients operated for either OAH, RAT, and OME during the time period from April 2014 to July in the Otorhinolaryngology Clinic of Adıyaman University. They were divided into three groups according to diagnosis: OAH group (adenoidectomy only), RAT group (adenotonsillectomy), and OME group (adenoidectomy together with ventilation tube insertion to tympanic membrane). Inclusion criteria for the study were as follows: age between 2 and 13 years, endoscopic or radiologic diagnosis of nasopharyngeal obstruction by adenoid in OAH group, history of recurrent adenotonsillitis in RAT group, and persistence of middle ear effusion for at least 3 months in OME group. While the samples with non-pathogen bacteria and normal oro- and nasopharyngeal flora including coagulase-negative staphylococci (CNS)
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
