{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T08:08:16Z","timestamp":1782202096352,"version":"3.54.5"},"reference-count":40,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2013,1,7]],"date-time":"2013-01-07T00:00:00Z","timestamp":1357516800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215112002976_sec1\"><jats:title>Introduction:<\/jats:title><jats:p>Anecdotally, infectious mononucleosis is considered a more severe infection than bacterial tonsillitis, requiring a longer hospital stay. However, there is little in the literature comparing the epidemiology of the two conditions. This study aimed to compare the epidemiology of bacterial tonsillitis and infectious mononucleosis, in particular any differences in the length of in-patient stay.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112002976_sec2\"><jats:title>Methodology:<\/jats:title><jats:p>The hospital in-patient enquiry system was used to analyse patients admitted with bacterial tonsillitis and infectious mononucleosis between 1990 and 2009 inclusive.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112002976_sec3\"><jats:title>Results:<\/jats:title><jats:p>There was a total of 3435 cases over the 20 years: 3064 with bacterial tonsillitis and 371 with infectious mononucleosis. The mean length of stay was 3.22 days for bacterial tonsillitis and 4.37 days for infectious mononucleosis. The median length of stay for each condition was compared using the Mann\u2013Whitney U non-parametric test, and a significant difference detected (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112002976_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Patients with infectious mononucleosis have a significantly longer stay in hospital than those with bacterial tonsillitis.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215112002976","type":"journal-article","created":{"date-parts":[[2013,1,7]],"date-time":"2013-01-07T10:09:41Z","timestamp":1357553381000},"page":"187-191","source":"Crossref","is-referenced-by-count":6,"title":["A longer stay for the kissing disease: epidemiology of bacterial tonsillitis and infectious mononucleosis over a 20-year period"],"prefix":"10.1017","volume":"127","author":[{"given":"P","family":"Lennon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Saunders","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J E","family":"Fenton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,1,7]]},"reference":[{"key":"S0022215112002976_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/000348940211101106"},{"key":"S0022215112002976_ref38","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000053021.93198.96"},{"key":"S0022215112002976_ref5","doi-asserted-by":"publisher","DOI":"10.1053\/jinf.2002.1022"},{"key":"S0022215112002976_ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2010.02187.x"},{"key":"S0022215112002976_ref18","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/11.1.64"},{"key":"S0022215112002976_ref25","first-page":"899","article-title":"Clinical aspects of the diagnosis and treatment of infectious mononucleosis in primary care and in departments of infectious diseases [in Hungarian]","volume":"142","author":"Almasi","year":"2001","journal-title":"Orv Hetil"},{"key":"S0022215112002976_ref26","unstructured":"HES Online. In: http:\/\/www.hesonline.nhs.uk\/Ease\/servlet\/ContentServer?siteID=1937&categoryID=203 [25 July 2011]"},{"key":"S0022215112002976_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/0966-842X(94)90599-1"},{"key":"S0022215112002976_ref6","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/S0095-4543(21)00177-9","article-title":"Infectious mononucleosis","volume":"2","author":"Hoagland","year":"1975","journal-title":"Prim Care"},{"key":"S0022215112002976_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(03)00194-0"},{"key":"S0022215112002976_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910220104"},{"key":"S0022215112002976_ref28","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-198802000-00006"},{"key":"S0022215112002976_ref23","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-11-51"},{"key":"S0022215112002976_ref27","first-page":"298","article-title":"Health care delivery in Maine, III: evaluating the level of hospital performance","volume":"66","author":"Wennberg","year":"1975","journal-title":"J Maine Med Assoc"},{"key":"S0022215112002976_ref2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01959075"},{"key":"S0022215112002976_ref3","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.44.5.1873-1874.2006"},{"key":"S0022215112002976_ref9","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2010.232108"},{"key":"S0022215112002976_ref10","unstructured":"The Economic and Social Research Institute: Understanding Ireland's Economic Success. In: http:\/\/www.esri.ie\/UserFiles\/publications\/20071114092120\/WP111.pdf [18 July 2011]"},{"key":"S0022215112002976_ref11","unstructured":"GDP per capital in PPS. In: http:\/\/epp.eurostat.ec.europa.eu\/tgm\/table.do?tab=table&plugin=1&language=en&pcode=tec00114 [18 July 2011]"},{"key":"S0022215112002976_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4899-0036-4"},{"key":"S0022215112002976_ref13","first-page":"261","article-title":"Infectious mononucleosis. Observations from a public health laboratory","volume":"34","author":"Evans","year":"1961","journal-title":"Yale J Biol Med"},{"key":"S0022215112002976_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(67)91559-0"},{"key":"S0022215112002976_ref16","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910110123"},{"key":"S0022215112002976_ref19","unstructured":"Clinical Knowledge Summaries. In: http:\/\/www.cks.nhs.uk\/patient_information_leaflet\/tonsillitis [24 July 2011]"},{"key":"S0022215112002976_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/0149-2918(95)80038-7"},{"key":"S0022215112002976_ref22","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.1.61"},{"key":"S0022215112002976_ref24","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.131.10.900"},{"key":"S0022215112002976_ref17","first-page":"1599","article-title":"Infectious mononucleosis in older adults","volume":"42","author":"Axelrod","year":"1990","journal-title":"Am Fam Physician"},{"key":"S0022215112002976_ref29","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1080\/00365549950164409","article-title":"Acyclovir for treatment of infectious mononucleosis: a meta-analysis","volume":"31","author":"Torre","year":"1999","journal-title":"Scand J Infect Dis"},{"key":"S0022215112002976_ref31","doi-asserted-by":"publisher","DOI":"10.1258\/0022215011907686"},{"key":"S0022215112002976_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.anaerobe.2005.04.004"},{"key":"S0022215112002976_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/jech.52.2.101"},{"key":"S0022215112002976_ref33","doi-asserted-by":"publisher","DOI":"10.3109\/inf.1978.10.issue-1.02"},{"key":"S0022215112002976_ref34","first-page":"411","article-title":"Metronidazole and angina caused by infectious mononucleosis [in Spanish]","volume":"8","author":"Dalmau","year":"1990","journal-title":"Enferm Infecc Microbiol Clin"},{"key":"S0022215112002976_ref35","doi-asserted-by":"publisher","DOI":"10.3109\/inf.1980.12.issue-4.05"},{"key":"S0022215112002976_ref36","doi-asserted-by":"publisher","DOI":"10.3109\/inf.1982.14.issue-2.04"},{"key":"S0022215112002976_ref37","doi-asserted-by":"publisher","DOI":"10.3109\/inf.1982.14.issue-2.05"},{"key":"S0022215112002976_ref39","doi-asserted-by":"publisher","DOI":"10.1108\/14777261111134392"},{"key":"S0022215112002976_ref40","unstructured":"Analysis in Brief: November 30, 2005: Inpatient Hospitalizations and Average Length of Stay Trends in Canada, 2003\u20132004 and 2004\u20132005. In: https:\/\/secure.cihi.ca\/free_products\/hmdb_analysis_in_brief_e.pdf [26 July 2011]"},{"key":"S0022215112002976_ref8","unstructured":"Central Statistics Office. In: http:\/\/www.cso.ie\/statistics\/popofeachprovcountycity2006.htm [16 July 2011]"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215112002976","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,5]],"date-time":"2022-02-05T12:49:38Z","timestamp":1644065378000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215112002976\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,7]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["S0022215112002976"],"URL":"https:\/\/doi.org\/10.1017\/s0022215112002976","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,7]]}}}