The comparison of bacteremia and amount of bleeding during adenotonsillectomy

• Published in: International journal of pediatric otorhinolaryngology 2011-01, Vol.75 (1), p.12-14
• Main Authors: Koc, Sema, Gürbüzler, Levent, Yenişehirli, Gülgün, Eyibilen, Ahmet, Aladağ, İbrahim, Yelken, Kürşat, Asan, Hatice
• Format: Article
• Language: English
• Subjects: Adenoidectomy; Adenoidectomy - adverse effects; Adenoidectomy - methods; Adenoidectomy - statistics & numerical data; Adolescent; Adult; Age Distribution; Bacteremia; Bacteremia - epidemiology; Bacteremia - etiology; Bacteremia - microbiology; Bleeding; Blood Loss, Surgical - statistics & numerical data; Child; Child, Preschool; Cohort Studies; Female; Follow-Up Studies; Hemorrhage - epidemiology; Hemorrhage - etiology; Humans; Incidence; Male; Otolaryngology; Pediatrics; Postoperative Complications - epidemiology; Postoperative Complications - microbiology; Risk Assessment; Sex Distribution; Tonsillectomy; Tonsillectomy - adverse effects; Tonsillectomy - methods; Tonsillectomy - statistics & numerical data; Young Adult
• ISSN: 0165-5876; 1872-8464
• DOI: 10.1016/j.ijporl.2010.09.009

Abstract Objective Adenoidectomies and/or tonsillectomies are among the most frequently performed otolaryngological surgical procedures.The goals of this study were to investigate the relationship between the amount of bleeding and bacteremia during adenoidectomy and/or tonsillectomy procedures. Methods Seventy-eight patients who underwent tonsillectomy with or without adenoidectomy and adenoidectomy with or without tube insertion were included in the study. Patients with severe chronic underlying diseases (including cardiovascular disorders, renal or hepatic disease, or immunodeficiency) were excluded from study, as were those who had suffered an acute episode of respiratory infection or had received antibiotics for any reason within three weeks prior to the operation. The amount of bleeding was measured and recorded for each patient during the surgery. Preoperative blood cultures immediately after the induction of anesthesia and postoperative blood cultures 20 min after the operation were collected. Results While none of the blood cultures taken preoperatively was positive for any organisms, the cultures obtained postoperatively were positive in 16 (20.5%) of 78 patients who underwent tonsillectomy with or without adenoidectomy and adenoidectomy with or without tube insertion, and bacteremia was more frequent among those with greater amount of bleeding during the surgery. Conclusion The results of this study suggest that although bacteremia had no clinical consequences in patients, it should be kept in mind that patients with greater amount of bleeding are at higher risk for developing bacteremia and it may produce vital results in patients at risk.