{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:12Z","timestamp":1787014032521,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T00:00:00Z","timestamp":1702598400000},"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":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Peritonsillar abscess (PTA) is the most common soft\u2010tissue infection of the head and neck. This potential complication of tonsillitis has demonstrated unique microbial trends during the COVID\u201019 pandemic. This era has resulted in a major shift in the hygiene and social habits of the general population, which has resulted in changes in the presentation, management and microbiology of several infectious diseases. To date, the impact of COVID 19 on PTA microbiology and clinical presentation in the paediatric population has yet to be investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective chart review comparing all cases of paediatric (age 0\u201318) PTA in an academic tertiary centre during the COVID\u201019 pandemic (03\/2020\u201302\/2022) and compared them to two control groups: pre\u2010COVID (03\/2018\u201302\/2020) and post\u2010COVID (03\/2022\u201303\/2023). All patients were treated with either needle aspiration, incision and drainage or both means in addition to intravenous antibiotics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A large Ear Nose and Throat department in a tertiary referral center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Consecutive children aged 18 years or under, admitted with a diagnosis of Peritonsillar abscess.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>We analyzed the clinical and microbiologcal features of all cases of pediatric peritonsillar abscess during the COVID\u201019 era (03\/2020\u201002\/2022) and compared them to a pre and post control cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 96 PTA cases were included (35 pre\u2010COVID, 35 COVID and 26 post\u2010COVID). The means of procedural treatment shifted in favour of incision and drainage versus needle aspiration during the COVID era. The length of hospitalisation increased during the COVID era (3.6\u2009days vs. 2.1 and 3.1 pre and post\u2010COVID respectively,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). No other notable differences in the clinical and demographic features were found between the three eras. The COVID\u201019 era saw an increase in Fusobacterium (37.1% vs. 8.6% and 24% pre and post\u2010COVID, respectively;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.008) and Streptococcus Anginosus (31.4% vs. 5.7% and 7.7% pre and post\u2010COVID, respectively;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.007) species isolation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic did not seem to impact the clinical presentation of paediatric PTA yet resulted in a change in microbiological pathogens. The choice of I&amp;D as a means to shorten hospital stay during the pandemic may have led to an actual increase in hospital stay, suggesting that NA may be the preferred management approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.14133","type":"journal-article","created":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T13:32:54Z","timestamp":1702647174000},"page":"207-213","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of the\n                    <scp>COVID<\/scp>\n                    \u201019 era on clinical presentation, management and microbiology in paediatric peritonsillar abscess: A case\u2013control study"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9685-582X","authenticated-orcid":false,"given":"Yotam","family":"Heilig","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Soroka University Medical Center, Faculty of Health Sciences, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7446-1788","authenticated-orcid":false,"given":"Aviad","family":"Sapir","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Soroka University Medical Center, Faculty of Health Sciences, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Yafit","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Soroka University Medical Center, Faculty of Health Sciences, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalom","family":"Ben\u2010Shimol","sequence":"additional","affiliation":[{"name":"The Pediatric Infectious Disease Unit Soroka University Medical Center, The Faculty of Health Sciences, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel M.","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Soroka University Medical Center, Faculty of Health Sciences, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8666-3571","authenticated-orcid":false,"given":"Oded","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Soroka University Medical Center, Faculty of Health Sciences, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,15]]},"reference":[{"issue":"8","key":"e_1_2_13_2_1","first-page":"501","article-title":"Peritonsillar Abscess","volume":"95","author":"Galioto NJ","year":"2017","journal-title":"Am Fam Physician"},{"issue":"3","key":"e_1_2_13_3_1","article-title":"Peritonsillar abscess: clinical aspects of microbiology, risk factors, and the association with parapharyngeal abscess","volume":"64","author":"Klug TE","year":"2017","journal-title":"Dan Med J"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199508002-00001"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365540802195226"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820927328"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-004-0800-6"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106000399"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100133092"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13869"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2022.103526"},{"issue":"7","key":"e_1_2_13_12_1","article-title":"Trends in pediatric acute otitis media burden during the first COVID\u201019 year","volume":"43","author":"Marom T","year":"2022","journal-title":"Otol Neurotol off Publ Am Otol Soc Am Neurotol Soc Eur Acad Otol Neurotol"},{"issue":"2","key":"e_1_2_13_13_1","first-page":"231","article-title":"Changes in the epidemiology of pediatric sinogenic and otogenic intracranial infections during the COVID\u201019 pandemic: a single\u2010institution study","volume":"32","author":"Angelo SJ","year":"2023","journal-title":"J Neurosurg Pediatr"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110324"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198403153101102"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-014-2052-8"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2021.0100"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-021-02024-9"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2022.04.003"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1943387521991267"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300709"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414556083"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-020-00424-7"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05542-1"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1086\/644616"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30367"},{"key":"e_1_2_13_27_1","article-title":"The impact of the COVID\u201019 associated shutdown on orthopedic patient care","author":"Hanreich C","year":"2022","journal-title":"Arch Orthop Trauma Surg"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2009.04.021"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2017.06.007"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3029-z"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2022.824578"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12866-021-02336-6"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.14133","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T01:39:17Z","timestamp":1707961157000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.14133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,15]]},"references-count":31,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/coa.14133"],"URL":"https:\/\/doi.org\/10.1111\/coa.14133","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/COA.14133\/v3\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14133\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14133\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14133\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14133\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14133\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14133\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14133\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.14133\/v3\/response1","asserted-by":"object"}]},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,15]]},"assertion":[{"value":"2023-04-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}