Aerobic and Facultative Anaerobic Bacteria in Tonsils of Different Ages with Recurrent Tonsillitis Karim Gulbahar F.1,*, AL-Salihi Siham Sh.2, Atya Qanat Mahmood3, Abass Kasim Sakran4 1Department of Basic Nursing Sciences, College of Nursing, University of Kirkuk, Kirkuk, Iraq 2Medical Laboratory Technical Department, Northren Technical University, Iraq 3Department of Biology, College of Science, University of Tikrit, Tikrit, Iraq 4Department of Pharmacology and Toxicology, College of Pharmacy, University of Kirkuk, Kirkuk, Iraq *Corresponding Author: Gulbahar F. Karim, Department of Basic Nursing Sciences, College of Nursing, University of Kirkuk, Kirkuk, Iraq, Email: gfkarim22@gmail.com
Online published on 13 November, 2019. Abstract Background Tonsillitis is considers one of the most otolaryngological diseases. It might lead to tonsillectomy if not treated properly. The Aims Of the current study is to determine the prevalence of chronic tonsillitis caused by bacterial infection among different age groups of both sexes at Kirkuk City. In addition find out the bacterial load in the tonsillitis cases, as well as their susceptibility pattern to some common antibiotics. Pat Method Two hundred and ten throat swabs were tacked from patients with signs and symptoms of chronic tonsillitis. The swab samples were cultured on different culture media. The isolates were diagnosed using laboratory methods for identification of bacteria. The Results Revealed a high prevalence of chronic tonsillitis in Kirkuk city and it was more predominant in female (55.63%). The female to male ratio was 1.2: 1. The most affected age group was (1–10) years old, constitute (35%) of all participant. There are 160 samples produce positive bacterial growth. The results showed that Streptococcus pyogenes was the most infectious bacteria associated with chronic tonsillitis which constitute (41.9%) of bacterial isolates, followed by Staphylococcus aureus (35.6%), Streptococcus parasanginus (7.5%), Streptococcus mitis (6.3%), Streptococcus agalactiae (5.6%), and Streptococcus mutans (3.1%). The results of antibiotic sensitivity test, disc diffusion method revealed that the most isolates under investigation were found to be multidrug resistant. Since all isolates were resistant 100% to Ampicillin, followed by high rate resistant to penicillin (82.58%), with moderate resistance to Erythromycin (59.92%), Amoxicillin-Clavulanic acid (59.68%), and less resistant to Cefotaxime (47.70%), Ceftriaxone (38.08). However, most of them were highly sensitive to Ciprofloxacin, and Imipenem. Conclusion The knowledge about the most likely local infectious microorganisms and their susceptibility to antibiotics can reduce the chance of chronic tonsillitis. Recommendation It is recommended to control throat infections and tonsillitis, this required the availability of primary care with adequate dose, and course of appropriate antibiotics treatment, which play important role in the prevention of chronic tonsillitis and its long term squeal. Top Keywords Tonsillitis, Antibiotics, Bacteria, Tonsillectomy, Streptococcus pyogenes. Top |