title: The comparison of bacteremia and amount of bleeding during adenotonsillectomy.
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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Gaziosmanpasa University School of Medicine, Department of Otorhinolaryngology, Tokat, Turkey. drsemakoc@gmail.com
authors.forename: Sema
authors.initials: S
authors.lastname: Koc
authors.forename: Levent
authors.initials: L
authors.lastname: Gürbüzler
authors.forename: Gülgün
authors.initials: G
authors.lastname: Yenişehirli
authors.forename: Ahmet
authors.initials: A
authors.lastname: Eyibilen
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Aladağ
authors.forename: Kürşat
authors.initials: K
authors.lastname: Yelken
authors.forename: Hatice
authors.initials: H
authors.lastname: Asan
mesh_terms: D000233:Adenoidectomy / Q000009:adverse effects* / Q000379:methods / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D016470:Bacteremia / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D015994:Incidence; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000382:microbiology; D018570:Risk Assessment; D017678:Sex Distribution; D014068:Tonsillectomy / Q000009:adverse effects* / Q000379:methods / Q000706:statistics & numerical data*; D055815:Young Adult