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Bacterial colonization of laryngectomy stomas

Published online by Cambridge University Press:  08 March 2006

D.C. Wild ,
D. Mehta  and
P.J. Conboy
D.C. Wild
Affiliation:
Department of Otorhinolaryngology, Leicester Royal Infirmary, Leicester, UK.
D. Mehta
Affiliation:
Department of Otorhinolaryngology, Leicester Royal Infirmary, Leicester, UK.
P.J. Conboy
Affiliation:
Department of Otorhinolaryngology, Leicester Royal Infirmary, Leicester, UK.
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Abstract

Infections with organisms resistant to conventional antibiotics are of increasing concern. This observational study investigates the bacterial colonization of the peristomal area of laryngectomy patients.

Thirty-two consecutive patients who had previously undergone laryngectomy were recruited from the Head and Neck Clinic of a teaching hospital. Swabs were taken from the laryngectomy stoma site, the mouth and both nasal cavities. Microbiological culture and isolation were performed following standard procedures.

Despite no clinical sign of infection, 27 patients were found to be carriers of one or more organism (84.4 per cent). Staphylococcus aureus was detected in the peristomal area of 15 patients (46.9 per cent). Methicillin-resistant Staphylococcus aureus (MRSA) was isolated in seven (21.9 per cent) cases.

In this series the authors found a high incidence of colonization with potentially pathogenic bacteria in laryngectomy stomas with no clinical signs of infection. In a significant number of patients, Gram positive organisms were identified that could potentially cause cellulitis or wound infections.

Keywords

Bacterial ColonizationLaryngectomyStaphylococcus AureusMethicillin Resistance
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 118 , Issue 9 , September 2004 , pp. 710 - 712
Copyright
© 2004 Royal Society of Medicine Press

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