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Post-tonsillectomy bacteraemia in children

Published online by Cambridge University Press:  29 June 2007

R. M. Walsh*
Affiliation:
Department of Communication and Neuroscience, University of Keele, Keele.
B. N. Kumar
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke on Trent, U.K.
A. Tse
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke on Trent, U.K.
P. W. Jones
Affiliation:
Department of Mathematics and Statistics, University of Keele, Keele.
P. S. Wilson
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke on Trent, U.K.
*
Address for correspondence: Rory M. Walsh, F.R.C.S. (ORL), Department of Communication and Neuroscience, University of Keele, Keele ST5 5BG.

Abstract

It has been postulated that the bacteraemia rate following guillotine tonsillectomy is lower than that following dissection tonsillectomy due to intra-operative compression of tonsillar blood vessels by the guillotine. The aim of this study was to evaluate the incidence of bacteraemia following dissection and guillotine tonsillectomy. Sixty-four patients undergoing elective tonsillectomy for recurrent acute tonsillitis were randomly selected, 32 underwent dissection tonsillectomy and 32 guillotine tonsillectomy. Positive intra-operative blood cultures were obtained in 16 patients (25 %), nine (28.1 %) of the dissection group and seven (21.8 %) of the guillotine group. There was no significant difference between the two methods (Chi-squared test, p = 0.77).

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1997

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