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

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    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.
    Issue Date
    2010-08
    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
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    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
    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
    ISSN
    0003-4894
    Collections
    Beaumont Hospital

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