{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:32:43Z","timestamp":1785457963808,"version":"3.56.0"},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"44","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,11,1]]},"abstract":"\u00d6sszefoglal\u00f3.<\/jats:bold>\n Bevezet\u00e9s \u00e9s c\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A peritonsillaris t\u00e1lyog a\n leggyakoribb m\u00e9ly nyaki infekci\u00f3. Olyan f\u00fcl-orr-g\u00e9g\u00e9szeti k\u00f3rk\u00e9p, amely\n megfelel\u0151 kezel\u00e9s n\u00e9lk\u00fcl \u00e9letvesz\u00e9lyes sz\u00f6v\u0151dm\u00e9nyekkel j\u00e1rhat. D\u00f6nt\u0151 jelent\u0151s\u00e9g\u0171\n az empirikus antibiotikumv\u00e1laszt\u00e1s, melyhez ismerni kell a leggyakoribb\n k\u00f3rokoz\u00f3kat \u00e9s a v\u00e1rhat\u00f3 rezisztenci\u00e1t. M\u00f3dszerek:<\/jats:italic> A 2012 \u00e9s\n 2017 k\u00f6z\u00f6tt peritonsillaris t\u00e1lyog miatt kezelt esetek retrospekt\u00edv\n feldolgoz\u00e1s\u00e1t v\u00e9gezt\u00fck. \u00d6sszes\u00edtett\u00fck a seb\u00e9szi beavatkoz\u00e1s sor\u00e1n vett mint\u00e1k\n aerob \u00e9s anaerob ir\u00e1ny\u00fa teny\u00e9szt\u00e9si eredm\u00e9nyeit, valamint az empirikusan\n v\u00e1lasztott antibiotikumokat. A rutinszer\u0171 mikrobiol\u00f3giai teny\u00e9szt\u00e9s alapj\u00e1n\n meghat\u00e1roztuk a leggyakoribb k\u00f3rokoz\u00f3kat. Az adatokat nemzetk\u00f6zi felm\u00e9r\u00e9sek\n eredm\u00e9nyeivel hasonl\u00edtottuk \u00f6ssze. Eredm\u00e9nyek:<\/jats:italic> A vizsg\u00e1lt 6 \u00e9v\n sor\u00e1n 217 esetben kezelt\u00fcnk peritonsillaris t\u00e1lyogos beteget. A teny\u00e9szt\u00e9si\n eredm\u00e9nyeket csak 146 esetben tudtuk elemezni. Ebb\u0151l 47 esetben ker\u00fclt sor\n Fusobacterium<\/jats:italic> species (ebb\u0151l 25 esetben\n Fusobacterium necrophorum<\/jats:italic>), 31 esetben\n Actinomyces<\/jats:italic> species \u00e9s 29 esetben Streptococcus\n pyogenes<\/jats:italic> izol\u00e1l\u00e1s\u00e1ra. Az esetek k\u00e9tharmad\u00e1ban vegyes aerob\/anaerob\n bakt\u00e9riumfl\u00f3r\u00e1t izol\u00e1lt a laborat\u00f3rium. K\u00f6vetkeztet\u00e9s:<\/jats:italic> A\n t\u00e1lyogok kezel\u00e9s\u00e9ben \u00f6nmag\u00e1ban a seb\u00e9szi beavatkoz\u00e1s \u2013 az anaerob k\u00f6rnyezet\n megsz\u00fcntet\u00e9s\u00e9vel \u2013 jelent\u0151s klinikai javul\u00e1st eredm\u00e9nyez. A j\u00f3l v\u00e1lasztott\n antibiotikum meggyors\u00edthatja a lefoly\u00e1st, \u00e9s cs\u00f6kkentheti az esetleges\n sz\u00f6v\u0151dm\u00e9nyeket. Nagy jelent\u0151s\u00e9ge van a megfelel\u0151 mikrobiol\u00f3giai mintav\u00e9telnek,\n nem vagy nehezen gy\u00f3gyul\u00f3 esetekben ez teremtheti meg a c\u00e9lzott\n antibiotikumter\u00e1pi\u00e1ra t\u00f6rt\u00e9n\u0151 v\u00e1lt\u00e1s lehet\u0151s\u00e9g\u00e9t. Felm\u00e9r\u00e9s\u00fcnk alapj\u00e1n a\n peritonsillaris t\u00e1lyogok jelent\u0151s r\u00e9sz\u00e9t vegyes bakt\u00e9riumfl\u00f3ra okozza, \u00edgy a\n sz\u00e1j\u00fcregi anaerob bakt\u00e9riumokra is hat\u00f3 amoxicillin\u2013klavul\u00e1nsav vagy\n antibiotikum kombin\u00e1ci\u00f3j\u00e1nak (2. vagy 3. gener\u00e1ci\u00f3s cefalosporinok kombin\u00e1lva\n klindamicinnel vagy metronidazollal) alkalmaz\u00e1sa javasolt mint empirikus\n antibiotikumter\u00e1pia. Orv Hetil. 2020; 161(44): 1877\u20131883.<\/jats:p>\n Summary.<\/jats:bold>\n Introduction and objective:<\/jats:italic> Peritonsillar abscess is the most\n common deep neck infection. Without adequate treatment, this otolaryngological\n disease pattern can cause life-threatening complications. The empirical choice\n of antibiotics is crucial which requires knowledge of the most common pathogens\n and the potential resistance. Methods:<\/jats:italic> A retrospective analysis\n of cases treated for peritonsillar abscess was performed between 2012 and 2017.\n We summarized the aerobic and anaerobic culture results of the surgical samples\n and the empirically selected antibiotics. The most common pathogens were\n determined via<\/jats:italic> routine microbiological culture tests. We\n compared our data with the results of international studies.\n Results:<\/jats:italic> During the 6-year study at our Clinic, 217\n patients with peritonsillar abscess were treated. The microbiological tests were\n available for analysis in only 146 cases. In 47 cases,\n Fusobacterium<\/jats:italic> species (including 25 cases with\n Fusobacterium necrophorum<\/jats:italic>), in 31 cases\n Actinomyces<\/jats:italic> species and in 29 cases Streptococcus\n pyogenes<\/jats:italic> were isolated. In 2\/3 of the patients, polymicrobial\n infection was detected. Conclusion:<\/jats:italic> In the treatment of\n peritonsillar abscesses, surgical intervention can result in clinical\n improvement because of the elimination of the anaerobic milieu. A well-chosen\n antibiotic can accelerate the healing process and reduce the complication rate.\n Proper microbiological sampling is of great importance, and in cases of\n non-recovery or poor recovery, this may create the opportunity to switch for\n targeted antibiotic therapy. The results of this study show that polymicrobial\n flora is very important for the development of the peritonsillar abscess, thus\n the recommended antibiotic therapy is amoxicillin\u2013clavulanic acid or 2nd\/3rd\n generation cefalosporin combined with metronidazol or clindamycin. Orv Hetil.\n 2020; 161(44): 1877\u20131883.<\/jats:p>","DOI":"10.1556\/650.2020.31843","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T01:02:20Z","timestamp":1604451740000},"page":"1877-1883","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["A mikrobiol\u00f3giai vizsg\u00e1latok szerepe a peritonsillaris t\u00e1lyog kezel\u00e9s\u00e9ben hat \u00e9v anyag\u00e1nak retrospekt\u00edv elemz\u00e9se alapj\u00e1n"],"prefix":"10.1556","volume":"161","author":[{"given":"Eszter","family":"Erd\u00e9lyi","sequence":"first","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Ambrus","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1gnes","family":"Kiricsi","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erzs\u00e9bet","family":"Nagy","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Klinikai Mikrobiol\u00f3giai Diagnosztikai Int\u00e9zet, Szegedi Tudom\u00e1nyegyetem, Szeged"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e1szl\u00f3","family":"Rov\u00f3","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Bella","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika, Szegedi Tudom\u00e1nyegyetem, Szeged, Tisza Lajos krt. 111., 6725"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/44\/article-p1877.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/44\/article-p1877.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:12:40Z","timestamp":1633914760000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/44\/article-p1877.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,1]]},"references-count":0,"journal-issue":{"issue":"44"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31843","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,1]]}}}