Aerobic and Anaerobic Bacterial Isolates on the Surface and Core of Tonsils from Patients with Chronic Tonsillitis

Main Article Content

Meera Niranjan Khadilkar
Nitin Ankle
Sheetal Harakuni

Abstract

Introduction


Controversy regarding treatment of tonsillitis based on throat culture report still persists. If surface culture is a determinant of bacteriology of the core, then rational therapy could be aimed at organisms cultured by surface swab.


Materials and Methods


A Cross-sectional study was conducted on 100 patients of chronic tonsillitis who underwent tonsillectomy. Tonsil surface and core swabs were studied for aerobic and anaerobic growth.


Result


Eighty seven percent patients had aerobic growth on tonsil surface and ninety percent in tonsil core. Staphylococcus aureus was the commonest aerobic bacteria isolated. Anaerobic growth was present in 47% patients on tonsil surface, and 48% in core. Porphyromonas sp. was the commonest anaerobic bacterium isolated.


Discussion


There was no statistically significant difference between aerobic and anaerobic bacteria found in tonsil surface and core. 


Conclusion


Throat swabs adequately represent core pathogen, and are dependable in detecting bacteriology of chronic tonsillitis. 

Article Details

How to Cite
1.
Khadilkar MN, Ankle N, Harakuni S. Aerobic and Anaerobic Bacterial Isolates on the Surface and Core of Tonsils from Patients with Chronic Tonsillitis. BJOHNS [Internet]. 2017Aug.30 [cited 2024Nov.21];25(2):89-94. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/119
Section
Main article
Author Biographies

Meera Niranjan Khadilkar, Jawaharlal Nehru Medical College, KLE University, Belgaum - 590010 Address - 22, Highland Manor, Highlands, Mangalore - 575002

Resident, Department of ENT

Nitin Ankle, Jawaharlal Nehru Medical College, KLE University, Belgaum - 590010

Professor, Department of ENT

References

Collee JG, Fraser AG, Marmion BP, Simmons A. Mackie & McCartney Practical Medical Microbiology. 14th ed. Churchill Livingstone; New York; 1996

Sutter VL, Citron DM, Edelstein M, Finegold SM. Wadsworth Anaerobic Bacteriology Manual. 4th ed. Star Publishing Company; California; 1985.

Agrawal A, Kumar D, Goyal A, Gupta R, Bhooshan S. Bacteriological evaluation and their antibiotic sensitivity pattern in tonsillitis. IOSR J Dental Med Sc. 2014; 13(3):51-5

Bista M, Sinha BK, Amatya RCM, Tuladhar NR, Pokharel BM. Comparison of core and surface cultures in recurrent tonsillitis. J Institute Med. 2005; 27:60-5

Kumar A, Gupta V, Chandra K, Gupta P, Varshney S. Clinico bacteriological evaluation of surface and core microflora in chronic tonsillitis. Ind J Otolaryngol Head Neck Surg. 2005; 57(2):118-20

Mallya PS, Abraham B. Clinico Microbiological Evaluation of Surface and Core Microflora in Chronic Tonsillitis. Ind J Otolaryngol Head Neck Surg. 1998; 50(3)281-3

Gul M, Okur E, Ciragil P, Yildirim E, Aral M, Kilic MA. The comparison of tonsillar surface and core cultures in recurrent tonsillitis.Am J Otol. 2007; 28(3):173-6

Jayasimha VL, Vinodkumar CS, Raghukumar KG, Basavarajappa KG. Surface Tonsillar bacteria versus deep tonsillar bacteria in tonsillitis. J Pub Health Med Res. 2013;1(2):92-4

Brodsky L. Modern assessment of tonsils and adenoids. PedClin North Am. 1989 ; 36(6):1551-69

Hadi U, El-Hajj M, Uwaydah M, Fuleihan N, Matar GM. Characteristics of Pathogens Recovered from the Tonsils and Adenoids in a Group of Lebanese Children Undergoing Tonsillectomy and Adenoidectomy.J Applied Research. 2005; 5(3):473-80

Shishegar M, Ashraf MJ. Post-tonsillectomy Bacteremia and Comparison of Tonsillar Surface and Deep Culture. Adv in Prev Med. 2014;1-5

Babaiwa UF, Onyeagwara NC, Akerele JO. Bacterial tonsillar microbiota and antibiogram in recurrent tonsillitis. Biomedical Research 2013; 24:298-302.

Pereira LMP, Juman S, Bekele I, Seepersadsingh N, Adesiyun AA. Selected bacterial recovery in Trinidadian children with chronic tonsillar disease. Rev Bras Otorrinolaringol. 2008; 74(6):903-11

Al-Roosan M, Al-Khtoum N, Al-Said H. Correlation between surface swab culture and tonsillar core culture in patients with recurrent tonsillitis. Khartoum Medi J. 2008;1(3):129-32

Yousef RY, Faza’a SA, Yousef RY. Comparison of The Bacteriology of Tonsil Surface and Core in Bacterial Profile Isolated from Children with Chronic Tonsillitis. Med J Babylon. 2014; 7(1):52-7

Taylan I, Ozcan I, Mumcuoglu I, Baran I, Ozcan KM, Akdogan O, Selcuk A, Balaban N, Dere H. Comparison of the surface and core bacteria in tonsillar and adenoid tissue with beta-lactamase production. Ind J Otolaryngol Head Neck Surg. 2011;63(3):223-8

Klug TE, Henriksen JJ, Fuursted K, Ovesen T. Similar recovery rates of Fusobacteriumnecrophorum from recurrently infected and non-infected tonsils. Dan Med Bull. 2011; 58(7):1-5

Mitchelmore IJ, Reilly PG, Hay AJ, Tabaqchali S. Tonsil surface and core cultures in recurrent tonsillitis: Prevalence of anaerobes and beta-lactamase producing organisms. Eur J Clin Microbiol Infect Dis. 1994;13(7):542-8

Reilly S, Timmis P, Beeden AG, Willis AT. Possible role of the anaerobe in tonsillitis. J Clin Pathol. 1981;34:542-7.