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KMID : 0377619640060060639
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Korean Jungang Medical Journal
1964 Volume.6 No. 6 p.639 ~ p.650
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Bacteriological Study of the Tonsil and Adenoid
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Abstract
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Bacteriological study, of 142 (71 pairs) tonsils and 8 adenoids with chronic inflammation removed at the Severance Hospital of Yonsei Medical Center during reburuary to September of 1963, was performed, and the following results were obtained.
1. Of a group of total 201 strains of bacterial flora from the excised tensils and adenoids, 50.3 per cent revealed Streptococci, 18.4 per cent Staphylococci, 12.9 per cent Gram negative bacilli, 8.45 per cent Diphtheroids and Neisseria species each, and 1.5 per cent Pneumococci. And also evaluated that two bacterial groups of Streptococci and Staphylococci are most important pathogenic flora of the tonsil and adenoid infection.
2. From 78 normal throat swabs and cultures, isolated 119 strains of the bacterial flora as saprophytic organisms of 36,1 per cent Non-hemolytic streptococci, 27,7 per cent Viridans streptococci, 11.8 per cent Diphtheroids, 11.0 per cent Neisseria species, and total 13, 4 per cent of the others.
3. Bacterial susceptivility to 12 antibiotics with Kolmer´ s paper disc methods was tested. Generally, flora of the pathogenic tonsil was highly sensitive to Sigmamycin, Albamycin, Terramycin, Penicillin, Tetracycline, and Reverin, and resistant to Chloramphenicol, Neomycin, Streptomycin and Kanamycin. On the contrary, the susceptivility of the normal throat flora shows some. variant results as most sensitive to Erythromycin, Sigmamycin, and Albamycin, and resistant to Kanamycin, Neomycin, Penicillin, and Chloramphenicol.
4. On this study, recognized that repeating sensitivity test is required during the course of chemotherapy, and specially noticed that Penicillin still has relatively good susceptivility in spite . of bacterial resistancy due to long history of the clinical use, and Erythromycin was most susceptible antibiotics to the normal throat flora in general, but no therapeutic value of the throat infection including tonsillitis was revealed.
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