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  • Torun, Muzeyyen Mamal  (2)
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  • 1
    Online Resource
    Online Resource
    Wiley ; 2009
    In:  Otolaryngology–Head and Neck Surgery Vol. 141, No. 5 ( 2009-11), p. 609-613
    In: Otolaryngology–Head and Neck Surgery, Wiley, Vol. 141, No. 5 ( 2009-11), p. 609-613
    Abstract: We aimed to investigate the effect of tonsillectomy on oropharyngeal flora in children who underwent tonsillectomy for chronic recurrent tonsillitis. Study Design and Setting A prospective study was performed comprising patients with chronic recurrent tonsillitis who underwent tonsillectomy at the Department of Otolaryngology, Cerrahpasa Medical School. Incisional core biopsies of excised tonsils were also performed. Swabs and core biopsy specimens were transferred and maintained in Stuart's medium and sent to the Department of Microbiology and Clinical Microbiology at Cerrahpasa Medical School for microbiologic evaluation. Subjects and Methods Oropharyngeal swabs and tonsillar core biopsy specimens from 31 patients operated on for recurrent tonsillitis were cultured. Follow‐up oropharyngeal swabs were cultured one month after tonsillectomy. Results There was no significant difference between the preoperative and postoperative isolation rate of the potentially pathogenic bacteria. Normal aerobic flora did not change significantly. However, the isolation rate of the Neisseria species dropped ( P = 0.097) but did not reach statistical significance. Among anaerobes, Bacteroides fragilis , one of the major anaerobic bacteria, dropped significantly ( P = 0.007). The Propionibacterium acnes isolation rate increased significantly ( P = 0.009). Conclusion Oropharyngeal anaerobic bacterial flora decreases after tonsillectomy in recurrent tonsillitis patients. The isolation rate for bacteria of the normal flora and potentially pathogenic bacteria does not change. Tonsils with recurrent infections may become a nidus for anaerobic bacteria. In patients with chronic recurrent tonsillitis, tonsillectomy may help change anaerobic bacterial oropharyngeal flora to the normal flora found in healthy individuals.
    Type of Medium: Online Resource
    ISSN: 0194-5998 , 1097-6817
    Language: English
    Publisher: Wiley
    Publication Date: 2009
    detail.hit.zdb_id: 2008453-5
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  • 2
    In: Chemotherapy, S. Karger AG, Vol. 55, No. 3 ( 2009), p. 161-167
    Abstract: 〈 i 〉 Background: 〈 /i 〉 We compared the in vitro activities of tigecycline with those of other agents against 97 〈 i 〉 Streptococcus pneumoniae, 〈 /i 〉 140 〈 i 〉 Haemophilus influenzae 〈 /i 〉 and54 〈 i 〉 Moraxella catarrhalis 〈 /i 〉 strains isolated in two large university hospitals in Istanbul. 〈 i 〉 Methods: 〈 /i 〉 For analysis, the agar dilution method was used. 〈 i 〉 Results: 〈 /i 〉 For 〈 i 〉 S. pneumoniae 〈 /i 〉 isolates, 32% were not susceptible to penicillin (28.9% intermediate and 3.1% resistant). Cefotaxime, telithromycin, moxifloxacin and linezolid were fully active. Tigecycline had a 90% minimum inhibitory concentration (MIC 〈 sub 〉 90 〈 /sub 〉 ) of 0.12 μg/ml. For 〈 i 〉 H. influenzae, 〈 /i 〉 8.57% were not susceptible to ampicillin, among which 8 possessed β-lactamase (5.7%). Four (2.87%) 〈 i 〉 H. influenzae 〈 /i 〉 isolates with β-lactamase-negative and ampicillin-resistant phenotype were found. All isolates were susceptible to ceftriaxone, azithromycin, ciprofloxacin, levofloxacin and moxifloxacin. MIC 〈 sub 〉 90 〈 /sub 〉 for tigecycline was 0.5 μg/ml. Of 54 〈 i 〉 M. catarrhalis 〈 /i 〉 isolates, 88.9% possessed β-lactamase. Tigecycline and fluoroquinolones were highly active (MIC 〈 sub 〉 90 〈 /sub 〉 ≤0.12 μg/ml). 〈 i 〉 Conclusions: 〈 /i 〉 Linezolid, telithromycin, newer fluoroquinolones and tigecycline all have excellent in vitro activities against the 3 respiratory pathogens.
    Type of Medium: Online Resource
    ISSN: 0009-3157 , 1421-9794
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2009
    detail.hit.zdb_id: 1482111-4
    SSG: 15,3
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