Trend of peritonsillar infections in the León Health Area in the years before, during and after the pandemic. Study of a 6-year period
Abstract Introduction and objective: COVID-19 has had various consequences for the health care system. Focusing on our ENT Service, we have observed a decrease in the occurrence of peritonsillar infections (PTI). The aim of this study is to evaluate epidemiological aspects of PTIs over a 6-year period. Method: Retrospective and longitudinal descriptive study with data obtained from the computerized hospital registry of León over a 6-year period. Results: A total of 327 patients were included, pre-pandemic 201 (61.47%), pandemic 64 (19.54%) and post-pandemic 62 (18.96%), with a decrease of 48.58% in the incidence of IPA. Discussion: We found similar results to those analyzed in other series about the incidence of peritonsillar abscesses during the pandemic, however, we have a longer mean hospital stay in admissions for this pathology. Conclusions: The pandemic has affected and changed the way we look at certain conditions. In our case, when looking at peritonsillar abscesses we have observed a clear decrease.
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Gómez C, Ch EP, Reyes SE, de Los M, Contreras RA, Contreras JM, et al. Absceso y flemón periamigdalino ¿Lo estamos haciendo bien? Rev Otorrinolaringol Cir Cabeza Cuello 20107031238
Campagne EM, del Castillo Martín F, Martínez López M, Borque De Andrés C, de José Gómez M, García De Miguel M, et al. Peritonsillar and retropharyngeal abscesses: study of 13 years An Pediatr (Barc) 200665
Costales-Marcos M, López-álvarez F, Núñez-Batalla F, Moreno-Galindo C, Álvarez Marcos C, Llorente-Pendás JL, Infecciones periamigdalinas: Estudio prospectivo de 100 casos consecutivos Acta Otorrinolaringol Esp. 2012 056332127
Johnson RF, Stewart MG, The contemporary approach to diagnosis and management of peritonsillar abscess Curr Opin Otolaryngol Head Neck Surg. 20051315760
Risberg S, Engfeldt P, Hugosson S, Incidence of peritonsillar abscess and relationship to age and gender: Retrospective study Scand J Infect Dis. 200840107926
Slouka D, Hanakova J, Kostlivy T, Skopek P, Kubec V, Babuska V, et al. Epidemiological and microbiological aspects of the peritonsillar abscess Int J Environ Res Public Health 2020 06 11711110
Seguí Moya P, García MJ, Pérez Fernández CA, Complicaciones de las infecciones orales y faríngeas Libro virtual de formación en ORL Capítulo 78 Disponible en: https://seorl.net/PDF/Cavidad%20oral%20faringe%20esofago/078%20-%20COMPLICACIONES%20DE%20LAS%20INFECCIONES%20ORALES%20Y%20FAR%C3%8DNGEAS.pdf Citado el 27/04/2023
Wolf M, Even-Chen I, Talmi YP, Kronenberg J, The indication for tonsillectomy in children following peritonsillar abscess Int J Pediatr Otorhinolaryngol 199531
Farmer SEJ, Khatwa MA, Zeitoun HMM, Peritonsillar abscess after tonsillectomy: A review of the literature Ann R Coll Surg Engl. 2011933535
García Callejo FJ, Núñez Gómez F, Sala Franco J, Algarra JM, Management of peritonsillar infections objective An Pediatr (Barc) 200665545762
Wikstén J, Hytönen M, Pitkäranta A, Blomgren K, Who ends up having tonsillectomy after peritonsillar infection? Eur Arch Otorhinolaryngol. 2012 04269412814
Hardman JC, Swords C, Rocke JPJ, Walker A, Bryan JE, Milinis K, et al. Admission avoidance in tonsillitis and peritonsillar abscess: A prospective national audit during the initial peak of the COVID-19 pandemic Clin Otolaryngol. 2021 0346236372
Edwards MJ, James TW, Dalton CL, ENT UK coronavirus disease 2019 adult tonsillitis and quinsy guidelines: Translating guidance into practice J Laryngol Otol. 202113557983
Junta de Castilla y León. Consejería de Sanidad Población tarjeta sanitaria Internet Disponible en: https://www.saludcastillayleon.es/transparencia/es/transparencia/sanidad-cifras/informes-estadisticos/ordenacion-alfabetica/poblacion-tarjeta-sanitaria Citado el 24/04/2023
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies J Clin Epidemiol. 2008 046143449
García-Callejo FJ, Alba-García JR, Orozco-Núñez S, Martínez-Giménez L, Balaguer-García R, Ruescas-Gómez L, Aspectos asistenciales de la infección periamigdalina antes y durante la pandemia de COVID-19 Acta Otorrinolaringol Esp. 2023 742108115
Marom T, Cinamon U, Itskoviz D, Roth Y, Changing trends of peritonsillar abscess Am J Otolaryngol - Head Neck Med Surg. 2010 053131627
Krticková J, Haviger J, Ryšková L, Smatanová K, Chrobok V, Školoudík L, Peritonsillar complications of acute inflammations of palatine tonsils (a retrospective study) 2016 0165249
Wright B, McKenna C, Reddy CEE, The effect of the COVID-19 pandemic on non-elective otolaryngology admissions and a positive change in clinical practice Ann R Coll Surg Engl. 2021 0610374968
Sideris AW, Ghosh N, Lam ME, Mackay SG, Peritonsillar abscess and concomitant COVID-19 in a 21-year-old male BMJ Case Rep. 2020 09 7139
Cereceda-Monteoliva N, Devabalan Y, Lorenz H, Magill JC, Unadkat S, Rennie C, Improving the management of suspected tonsillitis and peritonsillar abscess referred to ENT-a coronavirus disease 2019 service improvement J Laryngol Otol. 20211355848
García Callejo FJ, Núñez Gómez F, Sala Franco J, Algarra JM, Tratamiento de la infección periamigdalina Objetivo Pacientes y métodos MANAGEMENT OF PERITONSILLAR INFECTIONS Objective An Pediatr (Barc) 200665
ENT Trainee Research Collaborative – West Midlands National prospective cohort study of peritonsillar abscess management and outcomes: The Multicentre Audit of Quinsies study J Laryngol Otol. 2016 08130876876
Campagne EM, del Castillo Martín F, Martínez López M, Borque De Andrés C, de José Gómez M, García De Miguel M, et al. Peritonsillar and retropharyngeal abscesses: study of 13 years An Pediatr (Barc) 200665
Costales-Marcos M, López-álvarez F, Núñez-Batalla F, Moreno-Galindo C, Álvarez Marcos C, Llorente-Pendás JL, Infecciones periamigdalinas: Estudio prospectivo de 100 casos consecutivos Acta Otorrinolaringol Esp. 2012 056332127
Johnson RF, Stewart MG, The contemporary approach to diagnosis and management of peritonsillar abscess Curr Opin Otolaryngol Head Neck Surg. 20051315760
Risberg S, Engfeldt P, Hugosson S, Incidence of peritonsillar abscess and relationship to age and gender: Retrospective study Scand J Infect Dis. 200840107926
Slouka D, Hanakova J, Kostlivy T, Skopek P, Kubec V, Babuska V, et al. Epidemiological and microbiological aspects of the peritonsillar abscess Int J Environ Res Public Health 2020 06 11711110
Seguí Moya P, García MJ, Pérez Fernández CA, Complicaciones de las infecciones orales y faríngeas Libro virtual de formación en ORL Capítulo 78 Disponible en: https://seorl.net/PDF/Cavidad%20oral%20faringe%20esofago/078%20-%20COMPLICACIONES%20DE%20LAS%20INFECCIONES%20ORALES%20Y%20FAR%C3%8DNGEAS.pdf Citado el 27/04/2023
Wolf M, Even-Chen I, Talmi YP, Kronenberg J, The indication for tonsillectomy in children following peritonsillar abscess Int J Pediatr Otorhinolaryngol 199531
Farmer SEJ, Khatwa MA, Zeitoun HMM, Peritonsillar abscess after tonsillectomy: A review of the literature Ann R Coll Surg Engl. 2011933535
García Callejo FJ, Núñez Gómez F, Sala Franco J, Algarra JM, Management of peritonsillar infections objective An Pediatr (Barc) 200665545762
Wikstén J, Hytönen M, Pitkäranta A, Blomgren K, Who ends up having tonsillectomy after peritonsillar infection? Eur Arch Otorhinolaryngol. 2012 04269412814
Hardman JC, Swords C, Rocke JPJ, Walker A, Bryan JE, Milinis K, et al. Admission avoidance in tonsillitis and peritonsillar abscess: A prospective national audit during the initial peak of the COVID-19 pandemic Clin Otolaryngol. 2021 0346236372
Edwards MJ, James TW, Dalton CL, ENT UK coronavirus disease 2019 adult tonsillitis and quinsy guidelines: Translating guidance into practice J Laryngol Otol. 202113557983
Junta de Castilla y León. Consejería de Sanidad Población tarjeta sanitaria Internet Disponible en: https://www.saludcastillayleon.es/transparencia/es/transparencia/sanidad-cifras/informes-estadisticos/ordenacion-alfabetica/poblacion-tarjeta-sanitaria Citado el 24/04/2023
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies J Clin Epidemiol. 2008 046143449
García-Callejo FJ, Alba-García JR, Orozco-Núñez S, Martínez-Giménez L, Balaguer-García R, Ruescas-Gómez L, Aspectos asistenciales de la infección periamigdalina antes y durante la pandemia de COVID-19 Acta Otorrinolaringol Esp. 2023 742108115
Marom T, Cinamon U, Itskoviz D, Roth Y, Changing trends of peritonsillar abscess Am J Otolaryngol - Head Neck Med Surg. 2010 053131627
Krticková J, Haviger J, Ryšková L, Smatanová K, Chrobok V, Školoudík L, Peritonsillar complications of acute inflammations of palatine tonsils (a retrospective study) 2016 0165249
Wright B, McKenna C, Reddy CEE, The effect of the COVID-19 pandemic on non-elective otolaryngology admissions and a positive change in clinical practice Ann R Coll Surg Engl. 2021 0610374968
Sideris AW, Ghosh N, Lam ME, Mackay SG, Peritonsillar abscess and concomitant COVID-19 in a 21-year-old male BMJ Case Rep. 2020 09 7139
Cereceda-Monteoliva N, Devabalan Y, Lorenz H, Magill JC, Unadkat S, Rennie C, Improving the management of suspected tonsillitis and peritonsillar abscess referred to ENT-a coronavirus disease 2019 service improvement J Laryngol Otol. 20211355848
García Callejo FJ, Núñez Gómez F, Sala Franco J, Algarra JM, Tratamiento de la infección periamigdalina Objetivo Pacientes y métodos MANAGEMENT OF PERITONSILLAR INFECTIONS Objective An Pediatr (Barc) 200665
ENT Trainee Research Collaborative – West Midlands National prospective cohort study of peritonsillar abscess management and outcomes: The Multicentre Audit of Quinsies study J Laryngol Otol. 2016 08130876876
Rodríguez-García, A., Fernández-Cascón, S., Pérez-Álvarez, A., Martín-Villares, C., Manzanares-López-Rendo, C., & Álvarez-Álvarez, I. (2023). Trend of peritonsillar infections in the León Health Area in the years before, during and after the pandemic. Study of a 6-year period. Revista ORL, 14(3), e31129. https://doi.org/10.14201/orl.31129
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