Microbiology of Chronic Sinusitis in Children

Orobello, Peter W.; Park, Robert I.; Belcher, Laura J.; Eggleston, Peyton A.; Lederman, Howard M.; Banks, James R.; Modlin, John F.; Naclerio, Robert M.

doi:10.1001/archotol.1991.01870210052007

Cited by 131 publications

(108 citation statements)

References 16 publications

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“…This inflammation in many or perhaps most cases does not seem to be related to the presence of a bacterial infection. 20,21 Similar to the questionnaire results, in our retrospective analysis, no association was observed between the decision of the ER physician to discharge two of the patients on an antibiotic for acute sinusitis with findings suggestive of acute sinusitis on their CT scan. Unfortunately, other than the screening CT scan, no readily accessible methodology exists to assist in the diagnosis of acute bacterial sinusitis.…”

Section: Discussionsupporting

confidence: 80%

Sinus computed tomography scan and markers of inflammation in vocal cord dysfunction and asthma

Peters¹,

Hatley²,

Crater³

et al. 2003

Annals of Allergy, Asthma & Immunology

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Section: Discussionsupporting

confidence: 80%

Sinus computed tomography scan and markers of inflammation in vocal cord dysfunction and asthma

Peters¹,

Hatley²,

Crater³

et al. 2003

Annals of Allergy, Asthma & Immunology

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“…15 Gold e Tami assessed a group of 18 patients in which they compared middle meatus aspirate cultures obtained by a Juhn-Tym Tap® aspiration system with maxillary sinus aspirate cultures, and found an 85.7% correlation. 16 Poole found a relation between endoscopically obtained nasal purulent secretion cultures and the typical bacteria of maxillary sinus aspirates.…”

Section: Discussionmentioning

confidence: 99%

Bacteriologia do aspirado do meato médio em pacientes com fibrose cística

Franche

Silva

Saleh

2007

Rev. Bras. Otorrinolaringol.

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The combination of factors, such as abnormal viscosity of the paranasal sinus secretions, decreased sinus drainage, and impaired mucociliary clearance may account for the establishment of a suitable and opportune environment for the colonization of bacteria in the paranasal sinuses of patients with cystic fibrosis. Aim: The goal of the present study was to assess the bacteriology of the middle meatus aspirate in patients diagnosed whit cystic fibrosis. Material and Methods: Through a cross-sectional prospective study, a sample consisting of 23 patients evaluated for 2 years, was assessed. Firstly, we established the relationship between the middle meatus culture and the maxillary sinus x-ray. In second, we studied the relationship between the middle meatus aspirate bacteriology and the sputum bacteriology. Results: In total, 42 aspirates of the middle meatus were carried out. In 17 (73.91%) of the 23 patients, the aspirates were negative; and in 6 (26.08%) they were positive. Out of the 42 aspirates,31 (78.8%) were negative, and 11 (26.2%) were positive. The presence of Pseudomonas aeruginosa was observed in 18.18% of the positive cultures, and Staphylococcus aureus was observed in 27.28%. Conclusion:The great majority of the middle meatus aspirates of the patients with cystic fibrosis were negative.

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“…Antecedent OM or chronic sinusitis is reported in 23 to 31% of pediatric brain abscesses (3,10). In contrast to pharyngitis, GAS is a much less common cause of childhood OM and sinusitis, accounting for only ϳ2% of isolates from cultures collected from middle ear or sinus aspirates (1,8). Nevertheless, antecedent OM or sinusitis is reported in 24% of children with GAS meningitis (11), and both our patient and one of the four earlier reported cases of GAS brain abscess (2) carried an antecedent diagnosis of OM.…”

Section: Case Reportmentioning

confidence: 99%