{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:34:25Z","timestamp":1784194465795,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to investigate whether changes in practice during the COVID\u201019 pandemic altered clinical presentation characteristics among adults with bacterial throat infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was conducted that included adult patients presenting with bacterial oropharyngeal infections to a tertiary level hospital in Melbourne, Australia. All patients presenting during the first phase of COVID\u201019 lockdown in Melbourne (1st April\u2013 1st July in 2020), and those from the same period 12\u2010months prior, were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were fewer presentations of bacterial throat infections during the pandemic period compared to the same time 1 year prior. There was a significantly reduced proportion of patients on oral antibiotics prior to their presentation in 2020, as compared to the same period 12\u2010months earlier (30% vs. 50%, respectively; <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.01), as well as a significant increase in the length of time patients were symptomatic before presenting to hospital (5\u2009days vs. 4\u2009days, respectively; <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.01). Despite this, there was no significant increase in the number of representations post discharge from hospital, or the length of hospital admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The overall number of patients presenting with tonsillitis, pharyngitis, peritonsillar abscess and deep neck space infection were reduced during the pandemic period. Patients experienced symptoms for a longer period of time and fewer were on antimicrobial therapy prior to presentation. This study highlights a shift towards delayed patient presentation and reduced oral antibiotic commencement in cases of oropharyngeal infections as a result of the COVID\u201019 pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17178","type":"journal-article","created":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T10:43:12Z","timestamp":1629801792000},"page":"2726-2730","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Bacterial infections of the oropharynx and deep neck spaces: an investigation of changes in presentation patterns during the <scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4363-6960","authenticated-orcid":false,"given":"Jason","family":"Toppi","sequence":"first","affiliation":[{"name":"Otolaryngology and Head and Neck Unit Austin Hospital  Heidelberg Victoria Australia"},{"name":"Otolaryngology and Head and Neck Unit Royal Children's Hospital  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5903-9765","authenticated-orcid":false,"given":"Jed","family":"Hughes","sequence":"additional","affiliation":[{"name":"Otolaryngology and Head and Neck Unit Austin Hospital  Heidelberg Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Phillips","sequence":"additional","affiliation":[{"name":"Otolaryngology and Head and Neck Unit Austin Hospital  Heidelberg Victoria Australia"},{"name":"Otolaryngology and Head and Neck Unit Royal Children's Hospital  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-318854"},{"key":"e_1_2_9_3_1","first-page":"577","article-title":"Admission avoidance in tonsillitis and peritonsillar abscess: a prospective national audit during the initial peak of the COVID\u201019 pandemic","volume":"46","author":"Smith ME","year":"2020","journal-title":"Clin Otolaryngol"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2020.06.003"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2174\/187152612801319230"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.05.002"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-05968-y"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26164"},{"key":"e_1_2_9_9_1","first-page":"1","article-title":"COVID\u201019, Australia: epidemiology report 18: fortnightly reporting period ending 7 June 2020","volume":"44","author":"Team C\u2010NIRS","year":"2020","journal-title":"Commun Dis Intell"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-30"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofaa536"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17186719"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33180"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2020.381"},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","unstructured":"World Health OrganizationClinical management of severe acute respiratory infection (SARI) when COVID\u201019 disease is suspected: interim guidance 13 March 2020. 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