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Evaluation of the microbiology of chronic sinusitis

Published online by Cambridge University Press:  29 June 2007

Burçin Şener
Affiliation:
Department of Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
Gülşen Hasçelik*
Affiliation:
Department of Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
Metin Önerci
Affiliation:
Department of Otorhinolaryngology, Hacettepe University Faculty of Medicine, Ankara, Turkey
Ferda Tunçkanat
Affiliation:
Department of Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
*
Address for correspondence: Gülşelik, M.D., Associate Professor of Microbiology, Hacettepe University Faculty of Medicine, Department of Microbiology, 06100, Ankara, Turkey

Abstract

Chronic sinusitis is one of the most common diseases treated in outpatient centres. In this prospective study, 49 patients with the diagnosis of chronic maxillary sinusitis were evaluated microbiologically by using sinus swab, irrigation fluid and sinus mucosal tissue specimens obtained during endoscopic sinus surgery. There was no bacterial growth in seven cases. In the remaining 42 cases a total of 89 bacteria were isolated, 28 of them being classical pathogens and 61 being non-classical pathogens. Among the classical pathogens Staphylococcus aureus was the most common one. The correlation between the isolates obtained from maxillary sinus and isolates obtained from throat, nose and nasopharynx did not have a predictive value. Since the overall rate of classical pathogen isolation from patients with chronic sinusitis was not significantly high, the possible role of factors other than bacterial growth should be identified in the pathogenesis of chronic sinusitis.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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References

Brook, I. (1981) Aerobic and anaerobic flora of normal maxillary sinuses. Laryngoscope 91: 372376.CrossRefGoogle ScholarPubMed
Brook, I. (1989) Bacteriology of chronic maxillary sinusitis in adults. Annals of Otology, Rhinology and Laryngology 98: 426–128.CrossRefGoogle ScholarPubMed
D'Amato, R. F., Baron, E. J., Johnson, R. C., Murray, P. R., Rodgers, F. G., Graevenitz, A. (1991) Bacteria. In Manual of Clinical Microbiology. 5th Edition. (Balows, A., Hausler, W. J., Hermann, K. L., Isenberg, H. D., Shadomy, H. J., eds.) American Society for Microbiology, Washington, pp 209572.Google Scholar
Doyle, P. W., Woodham, J. D. (1991) Evaluation of the microbiology of chronic ethmoid sinusitis. Journal of Clinical Microbiology 29: 23962400.CrossRefGoogle ScholarPubMed
Goldenhersh, M. J., Rachelefsky, G. S., Dudley, J., Brill, J., Katz, M. R., Rohr, , Spector, S. L., Siegel, S. C., Summanen, P., Baron, E. J., Finegold, S. (1990) The microbiology of chronic sinus disease in children with respiratory allergy. Journal of Allergy and Clinical Immunology 85: 10301039.CrossRefGoogle ScholarPubMed
Karma, P., Jokipii, L., Sipila, P., Luotonen, J., Jokipii, A. M. M. (1979) Bacteria in chronic maxillary sinusitis. Archives of Otolaryngology 105: 386390.CrossRefGoogle ScholarPubMed
Muntz, H. R., Lusk, R. P. (1991) Bacteriology of the ethmoid bullae in children with chronic sinusitis. Archives of Otolaryngology, Head and Neck Surgery 117: 179182.CrossRefGoogle ScholarPubMed
Orobello, P. W., Park, R. I., Belcher, L. J., Eggleston, P., Lederman, H. M., Banks, J. R., Modlin, J. F., Naclerio, R. M. (1991) Microbiology of chronic sinusitis in children. Archives of Otolaryngology, Head and Neck Surgery 117: 980983.CrossRefGoogle ScholarPubMed
Van Cauwenberge, P. B., Vander Mijnsbrugge, A. M., Ingels, K. J. A. O. (1993) The microbiology of acute and chronic sinusitis and otitis media: a review. European Archives of Otorhinolaryngology 250: S3–S6.CrossRefGoogle ScholarPubMed
Vaneechoutte, M., Verschraegen, G., Claeys, G., Van Den Abeele, A. M. (1988) Selective medium for Branhamella catarrhalis with acetazolamide as a specific inhibitor of Neisseria spp. Journal of Clinical Microbiology 26: 25442548.CrossRefGoogle ScholarPubMed
Wald, E. R., Byers, G., Guerra, N., Casselbrant, M., Beste, D. (1989) Subacute sinusitis in children. Journal of Pediatrics 115: 2832.CrossRefGoogle ScholarPubMed