Anjul Agarwal
anjul_g@rediffmail.com
International Journal of PharmTech Research
IJPTR
0974-4304
2455-9563
10.20902/2017
http://www.sphinxsai.com/pharmtech.php
2019
12
01
Bacteria Pattern Aerobic and Anaerobic From Surface Swab and Tonsillar Core Culture in Patients With Recurrent Tonsillitis
Daniel
Ginting
1
Abdul
Rachman
2
Linda
Adenin
2
R Lia
Kusumawati
3,4
Mirzan
Hasibuan
4
Harry
Asroel
2
Yusa
Herwanto
2
Resident in Department of Otorhinolaryngology-Head and Neck Surgery,
Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of
Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
Department of Microbiology, Faculty of Medicine, University of Sumatera Utara,
Jl. Universitas No. 1 Kampus USU Medan 20155, Indonesia
University of Sumatera Utara Hostpital, Jl. Dr. T. Mansyur No. 66 Kampus USU
Medan 20155, Indonesia
2019
63
68
120109
10.20902/IJPTR.2019.120109
http://dx.doi.org/10.20902/IJPTR.2019.120109
Backgrounds: Tonsillitis is the most common disease in otorhinolaryngology both
acute and chronic, especially in children. Recurrent tonsillitis is a chronic inflammatory process
in the palatine tonsils. Several studies have shown differences in pathogenic flora on surface
and tonsillar core. This also causes an increase failure of eradicating germs in acute tonsillitis.
Therefore, it falls into chronic stage. Identifying the bacterial organism in acute tonsillitis will
guide appropriate antibiotic therapy that can revolutionize the management of chronic
tonsillitis.Objectives: To determine the bacteria pattern from surface and tonsillar core in
patients with recurrent tonsillitis. Methods: The research is a descriptive with cross sectional
study. The sample of the study was patients with recurrent tonsillitis who underwent
tonsillectomy surgery at Adam Malik General Hospital Medan and several satellite hospitals in
Medan that met the inclusion criterias. Results:This study was attended by 33 recurrent
tonsillitis subjects with more male(66,7%) and most of them below 20 years (66.7%).The most
type of aerobic bacteria from surface and tonsillar core swabs was Staphylococcus aureus.
Antibiotics that are still sensitive to Staphylococcus aureus in tonsillar core swabs are
Gentamycin, Tigecycline, Clindamycin, and Inezolid. Antibiotics that are still sensitive to
Staphylococcus aureus on surface smears are Tigecycline, Vancomycin, and Erythromycin. The
bacteria form surface did not present bacteria from tonsillar core. The most anaerobic bacteria
found on both ofthe surface and tonsillar core were Bacteroides fragilis.Conclusions:The swab
cultures taken from the tonsillar surface may not always reveal the real pathogen of the tonsils.
In addition, the estimated probability of tonsillar bacteriology by surface swabs varies with the
type of the pathogen
http://sphinxsai.com/2019/ph_vol12_no1/1/(63-68)V12N1PT.pdf
bacteria pattern
swab
surface
tonsillar core
recurrent tonsillitis
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