title: The comparison of tonsillar surface and core cultures in recurrent tonsillitis.
abstract: OBJECTIVE
  This study was conducted to investigate whether there is any difference between tonsillar surface and deep tissue cultures in patients who underwent tonsillectomy for recurrent tonsillitis.
  
  
  METHODS
  Tonsillar surface and core tonsillar cultures were taken in all patients. The samples were inoculated into 5% sheep blood, chocolate, and MacConkey agar. The bacteria isolated were identified by using standard methods as well as API kits (Bio Mérieux) if necessary.
  
  
  RESULTS
  Pathogenic bacteria were isolated in 77 patients, and no pathogenic bacteria were recovered in 39 of 116 patients included in the study. Of these 77 patients, in 52 patients, different types of bacteria were recovered from the surface and deep tissue cultures, whereas in 25 patients, the same types of bacteria were isolated from both surface and deep tissue cultures. The estimated probabilities of tonsillar bacteriology via surface swabs for Haemophilus influenzae, Staphylococcus aureus, Streptococcus pneumoniae, and group A beta-hemolytic streptococci were 27.2%, 38.4%, 66.6%. and 62.5%, respectively. H influenzae was less frequently predicted by surface culture than others.
  
  
  CONCLUSIONS
  We think that the swab cultures taken from the tonsillar surface may not always reveal the real pathogen of the tonsils. In addition, the estimated probability of tonsillar bacteriology by surface swabs varies with the type of the pathogen. If medical therapy is planned on the basis of the tonsillar surface culture, then antibiotics also effective against H influenzae besides the target microorganisms may be chosen.
authors.affiliation: Department of Microbiology and Clinical Microbiology, Kahramanmaras Sutcu Imam University, Faculty of Medicine, Kahramanmaras, Turkey. mustafagultr@yahoo.com <mustafagultr@yahoo.com>
authors.forename: Mustafa
authors.initials: M
authors.lastname: Gul
authors.forename: Erdogan
authors.initials: E
authors.lastname: Okur
authors.forename: Pinar
authors.initials: P
authors.lastname: Ciragil
authors.forename: Ilhami
authors.initials: I
authors.lastname: Yildirim
authors.forename: Murat
authors.initials: M
authors.lastname: Aral
authors.forename: Mehmet
authors.initials: M
authors.lastname: Akif Kilic
mesh_terms: D000293:Adolescent; D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006192:Haemophilus Infections / Q000175:diagnosis / Q000188:drug therapy; D006193:Haemophilus influenzae / Q000302:isolation & purification; D006801:Humans; D008297:Male; D012008:Recurrence; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D014068:Tonsillectomy; D014069:Tonsillitis / Q000188:drug therapy* / Q000382:microbiology* / Q000601:surgery
chemical_list: D000890:Anti-Infective Agents