Sanasam Pusma Devi1, Vanathu Mariyapragasam M2, Puyam Sobita Devi3*, Mosin Babu4, Shandhyalata Yumlembam4, Eepsita R Marak2, Gunija Soibam2 and Vephizo Keyho4
1Ex Resident, Department of Otorhinolaryngology, Regional Institute of Medical Sciences, Imphal, Manipur, India
2Junior Resident, Department of Otorhinolaryngology, Regional Institute of Medical Sciences, Imphal, Manipur, India
3Professor, Department of Otorhinolaryngology, Regional Institute of Medical Sciences, Imphal, Manipur, India
4Senior Resident, Department of Otorhinolaryngology, Regional Institute of Medical Sciences, Imphal, Manipur, India
*Corresponding Author: Puyam Sobita Devi, Professor, Department of Otorhinolaryngology, Regional Institute of Medical Sciences, Imphal, Manipur, India.
Received: April 14, 2023; Published: June 08, 2023
Background: Peritonsillar abscess requires early identification and its management is very crucial. This study was conducted with the aim that presentation of this disease process will be better understood along with the microbiological study of the causative organisms so that better and more targeted use of anti-microbials can be put into place and also curative way of this disease can be identified.
Objectives: To assess the clinico - bacteriological profile and the management modalities of peritonsillar abscess.
Materials and Methods: A cross-sectional study was conducted in the Department of Otorhinolaryngology in collaboration with the Department of Microbiology, Regional Institute of Medical Sciences, Imphal, Manipur for a period of 2 years from September 2018 to October 2020. 90 patients with peritonsillar abscess were enrolled in the study. The clinico -bacteriological profile of peritonsillar abscess and different aspects of its management features were studied.
Results: Most of the patients were in the 4-5th decade of life with an overall female preponderance. The most common presenting complaint was throat pain and the common clinical finding was congestion and bulging of the soft palate. The majority of the patients had the first episode of peritonsillar abscess. The most common gram positive organism isolated was Streptococcus pyogenes and was more sensitive to linezolid and least sensitive to amoxicillin. The most common gram negative organism isolated was Klebsiella pneumonia which was most sensitive to imipenem and least sensitive to amikacin. All the patients were treated with medical treatment and the majority of the patients underwent incision and drainage.
Conclusion: Streptococcus pyogenes and Staphylococcus aureus were more commonly associated with peritonsillar abscess. Although incision and drainage or aspiration by needle along with antibiotic therapy helped in the immediate relief of symptoms, the curative method of treatment is interval tonsillectomy.
Keywords: Peritonsillar Abscess; Antibiotic Sensitivity; Interval Tonsillectomy; Microbiology of Peritonsillar Abscess
Citation: Puyam Sobita Devi., et al. “Peritonsillar Abscess: Clinico-bacteriological Profile and its Management".Acta Scientific Otolaryngology 5.7 (2023): 02-07.
Copyright: © 2023 Puyam Sobita Devi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.