The relationship between preoperative serum immunoglobulin levels and the development of bacteremia after tonsillectomy.
OBJECTIVE
We examined the risk for the development of bacteremia during tonsillectomy and evaluated the presence of an association between bacteremia and preoperative serum immunoglobulin levels.


METHODS
The study included 40 patients (16 males, 24 females; mean age 16.8 years; range 5 to 35 years) who underwent tonsillectomy with the use of the dissection-snear technique. Preoperatively, venous blood samples were collected from all the patients to determine serum immunoglobulin levels and the presence or absence of bacteremia. Bacteremia was also investigated in blood samples postoperatively.


RESULTS
There was no growth in the preoperative blood cultures, but bacteremia was documented in 10 patients (25%) after tonsillectomy. Increased serum IgG levels were determined in 15 patients before operation, seven of whom developed bacteremia after tonsillectomy (p<0.05). There was no correlation between postoperative bacteremia and preoperative serum IgM or IgA levels (p>0.05).


CONCLUSIONS
Although our current knowledge does not allow to predict bacteremia following tonsillectomy in advance, the finding that seven of 10 patients who developed bacteremia had increased preoperative IgG levels draws attention to serum IgG, especially in patents in whom bacteremia may present additional risks.
Keleş
Erol
E
Department of Otolaryngology, Medicine Faculty of Firat University, Elaziğ, Turkey. keleserol@yahoo.com
Gök
Uzeyir
U
Aral
Murat
M
Alpay
H Cengiz
HC
D000293:Adolescent; D000328:Adult; D000911:Antibodies, Monoclonal; D016470:Bacteremia / Q000097:blood / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood*; D008297:Male; D011183:Postoperative Complications / Q000097:blood / Q000175:diagnosis* / Q000209:etiology; D011237:Predictive Value of Tests; D011300:Preoperative Care; D014068:Tonsillectomy
D000911:Antibodies, Monoclonal; D007074:Immunoglobulin G