Objective: Acute and chronic tonsillitis are frequently treated with antibiotics. This study aimed to understand the presence of pathogenic micro-organisms on the surface and core of chronically infected tonsils among Tanzanian children.

Methods: The study enrolled children undergoing adenotonsillectomy. Surface and core tonsillar swabs were taken. Quantitative polymerase chain reaction was performed for , , , , and .

Results: Surface and core combined, isolated (86.1 per cent) was found the most, followed by (74.9 per cent), (42.6 per cent) and (28.7 per cent). and were only found in a few patients, 5.6 per cent and 0.8 per cent respectively.

Conclusion: Colonisation of the tonsillar surface and core has been found. Potentially pathogenic micro-organisms are likely to be missed based on a throat swab. Hence, the practice of surface tonsillar swabbing may be misleading or insufficient.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10772025PMC
http://dx.doi.org/10.1017/S0022215123001147DOI Listing

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