WHAT IS THE BACTERIOLOGY OF CHRONIC SINUSITIS IN ADULTS

被引：61

作者：

RAMADAN, HH

机构：

[1] Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown

来源：

AMERICAN JOURNAL OF OTOLARYNGOLOGY | 1995年 / 16卷 / 05期

关键词：

D O I：

10.1016/0196-0709(95)90057-8

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Purpose: Recent advances in imaging and endoscopy has increased our awareness of chronic sinusitis. The teaching has been that chronic sinusitis is mainly caused by anaerobes; however, recent studies have found that the role of anaerobes is small, especially in children. Materials and Methods: A prospective study was conducted on 76 adults who failed medical treatment for chronic sinusitis and were scheduled for endoscopic sinus surgery. Specimens were obtained on all 76 patients at the time of surgery and were sent for aerobic and anaerobic cultures. Results: Anaerobic organisms were isolated in 7.6% of the cases, and aerobes were isolated in 76.3% of the patients. The most common aerobic organism was the Staphylococcus species, whereby resistance to the most commonly used antibiotics was 21.7%. Conclusion: All past studies on the bacteriology in adults were made before the era of endoscopic sinus surgery and the newer-generation antibiotics. According to our results, it seems there is a change in trend in the bacteriology of chronic sinusitis in adults. (C) 1995 by W.B. Saunders Company

引用

页码：303 / 306

页数：4

共 16 条

[1]

Frederick, Braude, Anaerobic infection of the paranasal sinuses, N Engl J Med, 290, pp. 135-137, (1974)

[2]

Karma, Jokipii, Sipila, Et al., Bacteria in chronic maxillary sinusitis, Arch Otolaryngol Head Neck Surg, 105, pp. 386-390, (1979)

[3]

Su, Liu, Hung, Tsai, Bacteriology study in chronic maxillary sinusitis, Laryngoscope, 93, pp. 931-934, (1983)

[4]

Maisel, Kimberley, Treatment of chronic sinusitis with open drainage and cefaclor, Am J Otolaryngol, 9, pp. 30-33, (1988)

[5]

Brook, Bacteriology of chronic maxillary sinusitis in adults, Ann Otol Rhinol Laryngol, 98, pp. 426-428, (1989)

[6]

Tinkelman, Silk, Clinical and bacteriologic features of chronic sinusitis in children, Am J Dis Child, 143, pp. 938-941, (1989)

[7]

Muntz, Lusk, Bacteriology of the ethmoid bullae in children with chronic sinusitis, Arch Otolaryngol Head Neck Surg, 117, pp. 179-181, (1991)

[8]

Orobello, Park, Belcher, Et al., Microbiology of chronic sinusitis in children, Arch Otolaryngol Head Neck Surg, 117, pp. 980-983, (1991)

[9]

Sturdivant, Cannon, The bacteriology of chronic sinusitis in pediatrics, J Miss State Med Assoc, pp. 183-185, (1993)

[10]

Doyle, Woodham, Evaluation of the microbiology of chronic ethmoid sinusitis, J Clin Microbiol, 29, pp. 2396-2400, (1991)

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