1887

Abstract

The aerobic and anaerobic microbiology of sinus aspirates obtained during surgery was compared with culture of samples obtained by endoscopy. Six patients with chronic maxillary sinusitis were evaluated. Polymicrobial flora was found in all specimens (two-to-five isolates/sample). A total of 24 isolates (18 anaerobic, five aerobic and one microaerophilic) was obtained from sinus aspirates, and 25 isolates (16 anaerobic and nine aerobic) were found in endoscopic specimens. The predominant organisms were spp., spp. and spp. Concordance in the type and concentration of organisms was found in all cases. Sixteen of the 18 anaerobes isolated from sinus aspirates were also found in the concomitant endoscopic sample. Five aerobic isolates were found in both sinus aspirates and endoscopic samples and their concentration was similar. However, four aerobic gram-positive bacteria (<10 cfu/sample) were found only in endoscopy samples. This pilot study demonstrates the usefulness of endoscopic aspiration in the isolation of bacteria from chronically infected maxillary sinuses.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/00222615-46-5-430
1997-05-01
2024-04-23
Loading full text...

Full text loading...

/deliver/fulltext/jmm/46/5/medmicro-46-5-430.html?itemId=/content/journal/jmm/10.1099/00222615-46-5-430&mimeType=html&fmt=ahah

References

  1. Frederick J., Braude A. I. Anaerobic infection of the paranasal sinuses. N Engl J Med 1974; 290:135–137
    [Google Scholar]
  2. Jousimies-Somer H. R., Savolainen S., Ylikoski J. S. Bacteriological findings of acute maxillary sinusitis in young adults. J Clin Microbiol 1988; 26:1919–1925
    [Google Scholar]
  3. Evans F. O., Sydnor J. B., Moore W. E. C. Sinusitis of the maxillary antrum. N Engl J Med 1975; 293:735–739
    [Google Scholar]
  4. Carenfelt C., Lundberg C., Nord C. E., Wretlind B. Bacteriology of maxillary sinusitis in relation to quality of the retained secretion. Acta Otolaryngol 1978; 86:298–302
    [Google Scholar]
  5. Brook I. Bacteriologic features of chronic sinusitis in children. JAMA 1981; 246:967–969
    [Google Scholar]
  6. Moss R. B., King V. V. Management of sinusitis in cystic fibrosis by endoscopic surgery and serial antimicrobial lavage. Reduction in recurrence requiring surgery. Ant Otolaryngol Head Neck Surg 1995; 121:566–572
    [Google Scholar]
  7. Brook I., Thompson D. H., Frazier E. H. Microbiology and management of chronic maxillary sinusitis. Arch Otolaryngol Head Neck Surg 1994; 120:1317–1320
    [Google Scholar]
  8. Summanen P., Baron E. J., Citron D. M., Strong C. A., Wexler H. M., Finegold S. M. Wadsworth anaerobic bacteriology manual. 5th edn Belmont, CA: Star Publishing Co; 1995
    [Google Scholar]
  9. Balows A., Hausler W. J., Herrman K. L., Isenberg H. D., Shadomy H. J. Manual of clinical microbiology. 5th edn Washington, DC: American Society for Microbiology; 1991
    [Google Scholar]
  10. O’Callaghan C. H., Morris A., Kirby S. M., Shingler A. H. Novel method for detection of beta-lactamases by using a chromogenic cephalosporin substrate. Antimicrob Agents Chemother 1972; 1:283–288
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/00222615-46-5-430
Loading
/content/journal/jmm/10.1099/00222615-46-5-430
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error