扁桃腺에 對한 細菌學的 考察

Abstract

[한글]

[영문]

Tonsil is not only important for it's frequent local infection but as a foci of various focal infection such as rheumatiam, dematitis, and others.

Many extensive studies have been done on this subject but the bacterial flora of tonsils are continmously varied according to environmental conditions and by use of chemotherapeutics.

For this reason, it was desired to study the bacterial flora and their susceptibilities to various chemotherapeutic agents in recent year (1963-1964).

The study was performed on following three groups:

a). Normal group: Clinically well and healthy 80 medical students of Yonsei University College of Medicine.

b). Acute tonsillitis group: 28 patients clinically diagnosed as acute tonesillitis.

c). Excised tonsil group: 152 patients received tonsillectomy.

The following bacteria were found in each groups:

a). Normal group: Gama-hemolytic streptococci (34.9 per cent), and Alpha-hemolytic streptococci (28.5 per cent) are the most common bacteria, and the others were Gram-positive bacilli (12.2 per cent), Gram-negative bacilli (1.6 per cent), Coagulase negative staphylococci (3.3 per cent) in that orders. Beta-hemolytic streptococci, Coagulase positive staphylococci and Pneumococci were not found in this group.

b). Acute tonsillitis group: On the contrary to normal group, Alphahemolytic streptococci (40.9 per cent) were rather common than Gamma-hemolytic streptococci (15.9 per cent), and Coagulase positive staphylococci (6.8 per cent).

c). Excised tonsil group: Alpha-hemolytic streptococci (41.9 per cent) were also rather common than Gamma-hemolytic streptococci (29.6 per cent) as acute tonsillitis group. And also only one flora of Beta-hemolytic streptococcus, Coagulase positive staphylococci (6.5 per cent) and pneumococci (1.8 per cent) were found in this study.