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Gram Staining for the Treatment of Peritonsillar Abscess
Joint Authors
Takeda, Kazuya
Hashimoto, Michiko
Inohara, Hidenori
Yoshii, Tadashi
Takenaka, Yukinori
Source
International Journal of Otolaryngology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-20
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objective.
To examine whether Gram staining can influence the choice of antibiotic for the treatment of peritonsillar abscess.
Methods.
Between 2005 and 2009, a total of 57 cases of peritonsillar abscess were analyzed with regard to cultured bacteria and Gram staining.
Results.
Only aerobes were cultured in 16% of cases, and only anaerobes were cultured in 51% of cases.
Mixed growth of aerobes and anaerobes was observed in 21% of cases.
The cultured bacteria were mainly aerobic Streptococcus, anaerobic Gram-positive cocci, and anaerobic Gram-negative rods.
Phagocytosis of bacteria on Gram staining was observed in 9 cases.
The bacteria cultured from these cases were aerobic Streptococcus, anaerobic Gram-positive cocci, and anaerobic Gram-negative rods.
The sensitivity of Gram staining for the Gram-positive cocci and Gram-negative rods was 90% and 64%, respectively.
The specificity of Gram staining for the Gram-positive cocci and Gram-negative rods was 62% and 76%, respectively.
Most of the Gram-positive cocci were sensitive to penicillin, but some of anaerobic Gram-negative rods were resistant to penicillin.
Conclusion.
When Gram staining shows only Gram-positive cocci, penicillin is the treatment of choice.
In other cases, antibiotics effective for the penicillin-resistant organisms should be used.
American Psychological Association (APA)
Takenaka, Yukinori& Takeda, Kazuya& Yoshii, Tadashi& Hashimoto, Michiko& Inohara, Hidenori. 2012. Gram Staining for the Treatment of Peritonsillar Abscess. International Journal of Otolaryngology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-473694
Modern Language Association (MLA)
Takenaka, Yukinori…[et al.]. Gram Staining for the Treatment of Peritonsillar Abscess. International Journal of Otolaryngology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-473694
American Medical Association (AMA)
Takenaka, Yukinori& Takeda, Kazuya& Yoshii, Tadashi& Hashimoto, Michiko& Inohara, Hidenori. Gram Staining for the Treatment of Peritonsillar Abscess. International Journal of Otolaryngology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-473694
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-473694