Analiza kliniczna pacjentów z ropniem okołomigdałkowym w materiale Kliniki Otolaryngologii Dziecięcej WUM w 2016 roku

Agata Wasilewska, *Lidia Zawadzka-Głos

Summary
Introduction. Peritonsillar abscess is the most common deep neck infection and may be potentially life threatening condition. Beside it is more common in adults is also the reason of hospitalization in children population.
Aim. Aim of the study was to analyze clinical patients hospitalized due to peritonsillar abscess.
Material and methods. The study involved a retrospective group of 29 children diagnosed and proved to have a peritonsillar abscess, who were treated in Children’s ENT Unit of Warsaw University Hospital from 1 January to 31 December of 2016. We compared our observations with data from current literature. We collect data regarding: age, sex, presented symptoms, seasonality, duration of hospitalization, treatment, microbiological results from patient’s medical chart.
Result. The average age of children was 8.48 years. 17 patients (56.6%) were above 6 years of age. The seasonal incidence of peritonsillar abscess was significantly higher in the autumn and spring (72.4%). Majority of patients have prior history of tonsillar infections and 11 patients were treated with antibiotics prior to the diagnosis of an abscess. All children had incision and drainage performed, one patient underwent bilateral tonsillectomy. The most common causative organism was Streptococcus group A (pyogenes). All organisms were sensitive to commonly used antibiotics. The majority of patients were treated with amoxicillin-clavulanate potassium or cefuroxime plus clindamycin intravenously with improvement.
Conclusions. Peritonsillar abscess is a potentially life threatening infection. Proper treatment is essential to avoid complications.

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