Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2009     Vol 34     No 2
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      UDK 616.322-002.3-053.2-07/-08

ISSN 0350-2899, 34(2009) br 2 p.96-103

Original paper

Etiopathogenesis and therapy for peritonsillar abscess in children
Vesna Stojanović Kamberović (1), Snežana Babac (2), Goran Bjelogrlić (3),
Marija Mihajlović (1), Milica Tatović (2)

(1) Dom zdravlja "Zvezdara", Beograd; (2) Klinika za ortorinolaringologiju KBC "Zvezdara", Beograd;
(3) Institut za ORL i MFC KC Srbije, Beograd


INTRODUCTION: Peritonsillar abscess is the most common complication of acute tonsillitis. It is caused by the penetration of pyogene bacteria into the connective tissue between the tonsills and m.constrictor pharyngis superior. PAPER OBJECTIVE: Overview of etiopathogenesis and therapy for peritonsillar abscess. METHODS: 39 patients were included in the retrospective study in the period 2000-2008. The average age was 14.51±3.76 (7-20 years of age). The diagnosis was based on the symptoms, clinical ORL examination, laboratory blood analysis, bacteriological isolate of pharynx/tonsills and the adequate therapy was applied. RESULTS: Of 39 patients, 87.18% of them were aged ≥ 10. The youngest patient was 7 years old. Gender related statistics was not significant (χ2=2.077; DF=1; p>0.05). The disease was much more common in the fall/winter/spring seasons (χ2=21.564; DF=1; p<0.01). Left-sided peritonsillar abscess was dominant (χ2=5.769; DF=1; p<0.05). According to statistics, β-hemolytic streptococcus was mostly isolated in the pharyngeal swab (χ2=8.779; DF=2; p<0.05). Of all antibiotics, penicillin had the widest application – 53.8% (χ2=24.897; DF=3; p<0.01), followed by cephalosporins 33.3%, tetracyclines 7.7% and macrolides 5.1%. Surgical treatments - incision was applied in 69.23% of cases. The average healing period was 10.51 days. Interval tonsillectomy was applied in 11 patients - one month after the treatment of the disease. CONCLUSION: Peritonsillar abscess can be expected in a small number of patients after adequate and timely treatment of acute tonsillopharyngitis. The therapy for peritonsillar abscess included surgical and/or medicamentous treatment.
Key words: peritonsillar abscess, etiopathogenesis, therapy

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian

      Corresponding Address:
Vesna Stojanović Kamberović
Dom zdravlja "Zvezdara"
Olge Jovanović 11, 11000 Beograd
Paper received: 13.04.2009.
Paper accepted: 23.04.2009.
Published online: 06.08.2009.
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