Systematic Review and Meta-analysis of the Change in Pharyngeal Bacterial Cultures After Pediatric Tonsillectomy.

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Scott E Brietzke, Steven M Andreoli

Abstract

To review all available biomedical literature to assess published data regarding the effect of pediatric tonsillectomy on the culture results of potentially pathogenic respiratory pharyngeal bacteria before and after surgery. Biomedical literature databases (PubMed, Embase, Web of Science) from January 1970 to December 2019. A systematic review of the literature was performed with the assistance of a medical librarian. Inclusion criteria consisted of pediatric patients and extractable data regarding respiratory bacteria culture data before and after tonsillectomy. Meta-analysis with random effects modeling was used on a limited basis. Only 5 studies met the inclusion criteria. The grand mean age was 5.9 years; the sample size range was 31 to 134; and the range of follow-up was 1 to 12 months. Group A beta hemolytic Streptococcus was generally the least commonly cultured pathogenic bacteria on preoperative cultures. Qualitative culture data generally showed an overall decrease in potentially pathogenic bacteria and some increase in nonpathologic respiratory flora after tonsillectomy. Meta-analysis showed significant reductions in postoperative culture rates for group A beta hemolytic Streptococcus (positive post- vs preoperative...Continue Reading

References

Apr 8, 2004·JAMA : the Journal of the American Medical Association·Warren J McIsaacDonald E Low
Oct 17, 2007·Archives of Otolaryngology--head & Neck Surgery·Thuy My LeAnne G M Schilder
Jan 23, 2009·The Cochrane Database of Systematic Reviews·Martin J Burton, Paul P Glasziou
Oct 29, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Emin KaramanHuseyin Isildak
Apr 21, 2012·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·Lorenzo DragoLorenzo Pignataro
Aug 3, 2013·Pediatric Clinics of North America·Sharon D RamosHarold S Pine
Mar 20, 2018·PLoS Neglected Tropical Diseases·Jane OliverMichael G Baker

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