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Microbiology of the middle meatus in children requiring adenotonsillectomy

Published online by Cambridge University Press:  29 June 2007

Frans Gordts ,
Ibrahim Abu Nasser ,
Denis Pierard ,
Paul Meyvisch  and
Peter A. R. Clement
Frans Gordts*
Affiliation:
Departments of Otorhinolaryngology, University Hospital (Vrije Universiteit Brussel), Brussels, Belgium.
Ibrahim Abu Nasser
Affiliation:
Departments of Otorhinolaryngology, University Hospital (Vrije Universiteit Brussel), Brussels, Belgium.
Denis Pierard
Affiliation:
Departments of Microbiology, University Hospital (Vrije Universiteit Brussel), Brussels, Belgium.
Paul Meyvisch
Affiliation:
Department of Biostatistics and Medical Informatics, University Hospital (Vrije Universiteit Brussel), Brussels, Belgium.
Peter A. R. Clement
Affiliation:
Departments of Otorhinolaryngology, University Hospital (Vrije Universiteit Brussel), Brussels, Belgium.
*
Address for correspondence: Frans Gordts, M.D., Department of Otorhinolaryngology, University Hospital V.U.B., aarbeeklaan 101, B-1090 Brussels, Belgium. Fax: 32-2-477 64 23
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Abstract

Middle meatus samples were cultured in 120 children undergoing adenotonsillectomy with, or without, insertion of ventilation tubes. Every child (except one) had positive cultures. Haemophilus influenzae (62 per cent of the children), Moraxella catarrhalis (53 per cent) and Streptococcus pneumoniae (48 per cent) were the most commonly isolated bacteria. The presence of Moraxella catarrhalis and (to a lesser extent) Streptococcus pneumoniae was higher in younger children, while Haemophilus influenzae was cultured independently of age.

Culture results of these middle meatal samples, carefully taken in order to avoid any contamination, probably reflect some ongoing sinus infection in these children requiring adenotonsillectomy. The problems inherent in the interpretation of surface cultures are addressed.

Keywords

MicrobiologyNasal cavityChild
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 1 , January 1999 , pp. 24 - 27
Copyright
Copyright © JLO (1984) Limited 1999

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