원저

편도주위농양의 임상적 분석

이재형1, 박진규1, 이종대1, 김동욱1,*, 이병돈1, 장혁순1
Jae Hyung Lee1, Jin Gyu Park1, Jong Dae Lee1, Dong Wook Kim1,*, Byung Don Lee1, Hyuck Soon Chang1
Author Information & Copyright
1순천향대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University, College of Medicine, Seoul, Korea
*교신저자: 김동욱, 140-743 서울 용산구 한남동 657번지 순천향대학교 의과대학 이비인후과학교실 전화: (02) 709-9361·전송: (02) 794-9628 E-mail: kdw1228@hosp.sch.ac.kr

© Copyright 2003 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Oct 28, 2003; Accepted: Nov 25, 2003

Published Online: May 31, 2020

ABSTRACT

Background and Objective: Peritonsillar abscess is a collection of pus between the fibrous capsule of the tonsil and the superior constrictor muscle of the pharynx. It is the commonest deep infection of the head and neck in adult, although rare, is potentially life-threatening. In spite of decreasing incidence since the advent of antibiotic therapy, many otolaryngologists frequently experience. We performed a recent clinical analysis of peritonsillar abscess and assessed the efficacy of pus culture and sensitivity. Materials and Methods: From January 1998 to December 2002, 72 patients who admitted SCH hospital were analyzed retrospectively. The analyzed factors were sex, age, season, the duration from onset to visit, body temperture, clinical manifestation, past history of peritonsillar abscess, duration of hospitalization, cultured organism and antibiotic sensitivity. Results: Peritonsillar abscess occurred most frequently at second decade (44.3%), July of months and summer of seasons. The mean duration from onset to visit was 4.4 days. Most frequent body temperature was 36.6- 37.5°C (70.9%). Most common symptom was sore throat (83.3%). On past history, 10 patients (13.9%) experienced peritonsillar abscess one time and 2 patients experienced two times. Average hospitalization was 4.2 days. Pus was cultured in forty-nine patients and pathologic organisms were only isolated in 19 patients (26.3%). Among the total 21 strains, α-hemolytic streptococci were 9 strains (36.8%), Klebsiella pneumoniae 2 strains (19.0%), Streptococcus milleri 3 strains (14.3%), Streptococcus pyogenes 2 strains (9.5%), Viridans Streptococci 1 strains (5.3%), Streptococcus mitis 1 strains (5.3%), Enterococcus cloaceae 1 strains (5.3%). Conclusion: For the treatment of peritonsillar abscess, proper antibiotic treatment is important and should be covered all bacteria that are causative. In our study, all patients were treated with cephalosporin and that was sensitive to all pathogens. Because the patients were treated by primary physician with antibiotics before admitted, routine microbial culture and microbial sensitivity tests were not effective. (J Clinical Otolaryngol 2003;14:282-287)

Keywords: 편도주위농양; 세균배양검사; 항생제감수성 검사
Keywords: Peritonsillar abscess; Culture; Microbial sensitivity tests


임상이비인후과 학술상 공지


안녕하십니까.

대한이비인후과학회 부산울산경남지부회에서는

회원분들의 학술 연구를 장려하는 의미에서 

2022년도부터 학술상을 신설해 수여하고자 합니다. 

 

임상이비인후과 학술상

1. 2022년에 본 학술지에 게재된 논문중

인용횟수 및 학술적 가치가 높은 연구주제에 대해

편집위원회에서 선정 후 수여

2. 수상자는 논문의 교신저자로 함

3. 시상 - 상장 및 상금 50만원

4. 시상일 - 추후 공지

5. 편집위원회에서 선정하므로 별도의 신청 필요 없음

 

- 관련문의 

 임상이비인후과 편집위원회  jco.hns.1990@gmail.com


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