STUDY ON CLINICAL, BACTERIOLOGICAL CHARACTERISTICS AND EVALUATION OF TREATMENT RESULTS OF PERITONSILLAR ABSCESS AT CAN THO CENTRAL GENERAL HOSPITAL

Duy Doanh Duong1, , Chanh Thi Lam2, Minh Thu Tran2, Thai Duong Vo2
1 Can Tho University of Medicine and Pharmacy
2 Can Tho Central General Hospital

Main Article Content

Abstract

Background: Peritonsillar abscess is a pus-filled collection of connective tissue around the tonsil sheath. This is a common pathology in emergency care at the ENT Department. Peritonsillar abscess can be caused by many factors, of which infection from acute or chronic tonsillitis is the most common cause. Objectives: To describe the clinical and bacteriological characteristics and evaluate the treatment results of peritonsillar abscess. Materials and methods: Cross sectional study on 44 patients diagnosed peritonsillar abscess at Can Tho Central General Hospital. Results: Through a study of 44 patients treated for peritonsillar abscess, we found that the most common functional symptom was painful swallowing. The most common physical symptom was tonsils pushed back and down and swollen anterior tonsil pillars with 81.8%. The rate of bacterial culture from peritonsillar abscess pus was 40.9% and the most commonly identified cultured bacteria was Streptococcus viridans with a rate of 33.3%. Patients were often treated as inpatients for 8-10 days, accounting for the highest rate of 52.3%. Conclusions: The rate of bacterial culture from peritonsillar abscess pus was 40.9% and the most commonly identified cultured bacteria was Streptococcus viridans at 33.3%. Patients were usually treated as inpatients for 8-10 days, accounting for the highest rate of 52.3%.

Article Details

References

1. Ngô Ngọc Liễn. Bệnh học tai mũi họng-đầu mặt cổ. Nhà xuất bản Y Học, Hà Nội. 2019.
2. Saar, M., Vaikjärv, R., Parm, Ü., Kasenõmm, P., Kõljalg, S., Sepp, E., ... & Mändar, R.
Unveiling the etiology of peritonsillar abscess using next generation sequencing. Annals of Clinical Microbiology and Antimicrobials. 2023. 22(1), 98. doi: 10.1186/s12941-023-00649-0.
3. Voyich, J. M., Sturdevant, D. E., Braughton, K. R., Kobayashi, S. D., Lei, B., Virtaneva, K., ... & DeLeo, F. R. Genome-wide protective response used by group A Streptococcus to evade destruction by human polymorphonuclear leukocytes. Proceedings of the National Academy of Sciences. 2003. 100(4), 1996-2001, doi: 10.1073/pnas.0337370100.
4. Đỗ Thị Dung. Nghiên cứu đặc điểm lâm sàng, vi khuẩn học và đánh giá kết quả điều trị của ápxe quanh amidan tại Bệnh viện Bạch Mai và Bệnh viện Tai Mũi Họng Trung Ương. Trường Đại học Y Hà Nội. 2017. 53-64.
5. Mai Thị Mai Phương. Mô tả triệu chứng lâm sàng, cận lâm sàng và kết quả điều trị áp-xe quanh amidan tại bệnh viện Tai Mũi Họng Trung Ương từ tháng 1/2015 đến hết tháng 12/2015. Trường Đại Học Y Hà Nội. 2017. 33-41.
6. Slouka, D., Hanakova, J., Kostlivy, T., Skopek, P., Kubec, V., Babuska, V., ... & Kucera, R. Epidemiological and microbiological aspects of the peritonsillar abscess. International Journal of Environmental Research and Public Health. 2020. 17(11), 4020, doi:
10.3390/ijerph17114020.
7. Sideris, G., Malamas, V., Tyrellis, G., Maragkoudakis, P., Delides, A., & Nikolopoulos, T. Ubi pus, ibi evacua: a review of 601 peritonsillar abscess adult cases. Irish Journal of Medical Science (1971-). 2021. 1-5.
8. Klug, T. E., Greve, T., Caulley, L., & Hillerup, S. The impact of social restrictions on the incidence and microbiology of peritonsillar abscess: a retrospective cohort study. Clinical Microbiology and Infection. 2024 30(1), 100-106, doi: 10.1016/j.cmi.2023.08.003.
9. Lê Huỳnh Mai. Một vài nhận xét về viêm tấy áp xe quanh Amidan tại bệnh viện Tai Mũi Họng TP HCM. Tạp chí Y học Thành phố Hồ Chí Minh. 2004. 8(1), 79-82.