Bacteremia during adenoidectomy: a comparison of suction diathermy adenoid ablation and adenoid curettage.

Hdl Handle:
http://hdl.handle.net/10147/126122
Title:
Bacteremia during adenoidectomy: a comparison of suction diathermy adenoid ablation and adenoid curettage.
Authors:
Casserly, Paula; Kieran, Stephen; Phelan, Eimear; Smyth, Edmond; Lacy, Peter
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Beaumont Hospital, Dublin, Republic of Ireland.
Citation:
Bacteremia during adenoidectomy: a comparison of suction diathermy adenoid ablation and adenoid curettage. 2010, 119 (8):526-9 Ann. Otol. Rhinol. Laryngol.
Journal:
The Annals of otology, rhinology, and laryngology
Issue Date:
Aug-2010
URI:
http://hdl.handle.net/10147/126122
PubMed ID:
20860277
Abstract:
Transient bacteremia is induced by adenoidectomy when the integrity of the nasopharyngeal membrane is broken. The aim of this study was to determine the incidence of bacteremia in patients undergoing adenoidectomy, to identify the causative organisms, and to compare the incidences of bacteremia between the two techniques suction diathermy and curettage.; A prospective single-blind randomized trial was performed. Sixty-four patients between the ages of 2 and 13 years who were undergoing adenoidectomy were included in the study. Exclusion criteria included antimicrobial therapy in the immediate preoperative period and concurrent respiratory tract infection or pyrexia. Patients were randomized in the anesthetic room to either suction diathermy or curettage. Venous blood samples for culture were obtained 30 seconds after the procedure began (intraoperative sample) and 2 minutes after removal of the adenoid tissue (postoperative sample). Postoperative complications were recorded, and all patients were followed in the outpatient department.; Twenty-six patients underwent adenoidectomy by suction diathermy, and 38 underwent adenoidectomy by curettage. In the suction diathermy group, 38.5% of intraoperative and 19.2% of postoperative blood cultures had a positive result for bacteremia. In the curettage group, 31.6% of intraoperative and 23.6% of postoperative blood cultures had a positive result for bacteremia. There was no significant difference between the two groups. The techniques were equivalent in terms of postoperative complications. Gram-positive cocci were the most commonly isolated organisms.; A transient bacteremia exists after pediatric adenoidectomy, but does not correlate with symptoms or signs. Neither suction diathermy adenoidectomy nor curettage adenoidectomy offers a particular advantage in terms of decreasing the incidence of bacteremia.
Item Type:
Article
Language:
en
MeSH:
Adenoidectomy; Adenoids; Adolescent; Bacteremia; Child; Child, Preschool; Curettage; Electrocoagulation; Female; Humans; Hypertrophy; Incidence; Male; Nasal Obstruction; Otitis Media; Prospective Studies; Single-Blind Method; Suction
ISSN:
0003-4894

Full metadata record

DC FieldValue Language
dc.contributor.authorCasserly, Paulaen
dc.contributor.authorKieran, Stephenen
dc.contributor.authorPhelan, Eimearen
dc.contributor.authorSmyth, Edmonden
dc.contributor.authorLacy, Peteren
dc.date.accessioned2011-03-29T15:12:36Z-
dc.date.available2011-03-29T15:12:36Z-
dc.date.issued2010-08-
dc.identifier.citationBacteremia during adenoidectomy: a comparison of suction diathermy adenoid ablation and adenoid curettage. 2010, 119 (8):526-9 Ann. Otol. Rhinol. Laryngol.en
dc.identifier.issn0003-4894-
dc.identifier.pmid20860277-
dc.identifier.urihttp://hdl.handle.net/10147/126122-
dc.description.abstractTransient bacteremia is induced by adenoidectomy when the integrity of the nasopharyngeal membrane is broken. The aim of this study was to determine the incidence of bacteremia in patients undergoing adenoidectomy, to identify the causative organisms, and to compare the incidences of bacteremia between the two techniques suction diathermy and curettage.-
dc.description.abstractA prospective single-blind randomized trial was performed. Sixty-four patients between the ages of 2 and 13 years who were undergoing adenoidectomy were included in the study. Exclusion criteria included antimicrobial therapy in the immediate preoperative period and concurrent respiratory tract infection or pyrexia. Patients were randomized in the anesthetic room to either suction diathermy or curettage. Venous blood samples for culture were obtained 30 seconds after the procedure began (intraoperative sample) and 2 minutes after removal of the adenoid tissue (postoperative sample). Postoperative complications were recorded, and all patients were followed in the outpatient department.-
dc.description.abstractTwenty-six patients underwent adenoidectomy by suction diathermy, and 38 underwent adenoidectomy by curettage. In the suction diathermy group, 38.5% of intraoperative and 19.2% of postoperative blood cultures had a positive result for bacteremia. In the curettage group, 31.6% of intraoperative and 23.6% of postoperative blood cultures had a positive result for bacteremia. There was no significant difference between the two groups. The techniques were equivalent in terms of postoperative complications. Gram-positive cocci were the most commonly isolated organisms.-
dc.description.abstractA transient bacteremia exists after pediatric adenoidectomy, but does not correlate with symptoms or signs. Neither suction diathermy adenoidectomy nor curettage adenoidectomy offers a particular advantage in terms of decreasing the incidence of bacteremia.-
dc.language.isoenen
dc.subject.meshAdenoidectomy-
dc.subject.meshAdenoids-
dc.subject.meshAdolescent-
dc.subject.meshBacteremia-
dc.subject.meshChild-
dc.subject.meshChild, Preschool-
dc.subject.meshCurettage-
dc.subject.meshElectrocoagulation-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshHypertrophy-
dc.subject.meshIncidence-
dc.subject.meshMale-
dc.subject.meshNasal Obstruction-
dc.subject.meshOtitis Media-
dc.subject.meshProspective Studies-
dc.subject.meshSingle-Blind Method-
dc.subject.meshSuction-
dc.titleBacteremia during adenoidectomy: a comparison of suction diathermy adenoid ablation and adenoid curettage.en
dc.typeArticleen
dc.contributor.departmentDepartment of Otolaryngology-Head and Neck Surgery, Beaumont Hospital, Dublin, Republic of Ireland.en
dc.identifier.journalThe Annals of otology, rhinology, and laryngologyen
dc.description.provinceLeinster-

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