1887

Abstract

Aspirates from 48 chronically inflamed maxillary sinuses from patients who had nasal polyposis were processed for aerobic and anaerobic bacteria. Bacterial growth was present in 46 (96 %) specimens. Aerobic or facultative bacteria were present in 6 (13 %) specimens, anaerobic bacteria alone in 18 (39 %), and mixed aerobic and anaerobic bacteria in 22 (48 %). There were 110 bacterial isolates (2.4 per specimen). Thirty-nine of the isolates were aerobic or facultative organisms (0.85 per specimen). The predominant aerobic or facultative organisms were: , microaerophilic streptococci, and . Seventy-one anaerobes were isolated (1.5 per specimen), spp., spp., and spp. being predominant. These findings illustrate for the first time the presence of polymicrobial aerobic–anaerobic flora in patients with chronic maxillary sinusitis who had nasal polyposis.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.45767-0
2005-06-01
2019-11-13
Loading full text...

Full text loading...

/deliver/fulltext/jmm/54/6/JM540613.html?itemId=/content/journal/jmm/10.1099/jmm.0.45767-0&mimeType=html&fmt=ahah

References

  1. Aust, R. & Drettner, B. ( 1974;). Oxygen tension in the human maxillary sinus under normal and pathological conditions. Acta Otolaryngol 78, 264–269.[CrossRef]
    [Google Scholar]
  2. Bachert, C., Gevaert, P., Holtappels, G., Johansson, S. G. & van Cauwenberge, P. ( 2001;). Total and specific IgE in nasal polyps is related to local eosinophilic inflammation. J Allergy Clin Immunol 107, 607–614.[CrossRef]
    [Google Scholar]
  3. Benninger, M. S., Ferguson, B. J., Hadley, J. A. & 11 other authors ( 2003;). Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngol Head Neck Surg 129 (3 Suppl.), S1–S32.[CrossRef]
    [Google Scholar]
  4. Brook, I. ( 1989;). Bacteriology of chronic maxillary sinusitis in adults. Ann Otol Rhinol Laryngol 98, 426–428.[CrossRef]
    [Google Scholar]
  5. Brook, I. & Gober, A. E. ( 1999;). Resistance to antimicrobials used for therapy of otitis media and sinusitis: effect of previous antimicrobial therapy and smoking. Ann Otol Rhinol Laryngol 108, 645–647.[CrossRef]
    [Google Scholar]
  6. Bucholtz, G. A., Salzman, S. A., Bersalona, F. B. & 8 other authors ( 2002;). PCR analysis of nasal polyps, chronic sinusitis, and hypertrophied turbinates for DNA encoding bacterial 16S rRNA. Am J Rhinol 16, 169–173.
    [Google Scholar]
  7. Carenfelt, C. ( 1979;). Pathogenesis of sinus empyema. Ann Otol Rhinol Laryngol 88, 16–20.[CrossRef]
    [Google Scholar]
  8. Carenfelt, C. & Lundberg, C. ( 1977;). Purulent and non-purulent maxillary sinus secretions with respect to pO2, pCO2 and pH. Acta Otolaryngol 84, 138–144.[CrossRef]
    [Google Scholar]
  9. Catlin, F. I., Cluff, L. E. & Reynolds, R. C. ( 1965;). The bacteriology of acute and chronic sinusitis. South Med J 58, 1497–1501.[CrossRef]
    [Google Scholar]
  10. Drettner, B. & Lindholm, C. E. ( 1967;). The borderline between acute rhinitis and sinusitis. Acta Otolaryngol 64, 508–513.[CrossRef]
    [Google Scholar]
  11. Frederick, J. & Braude, A. I. ( 1974;). Anaerobic infection of the paranasal sinuses. N Engl J Med 290, 135–137.[CrossRef]
    [Google Scholar]
  12. Gwaltney, J. M., Jr, Jones, J. G. & Kennedy, D. W. ( 1995;). Medical management of sinusitis: educational goals and management guidelines. Ann Otol Rhinol Laryngol 104, 22–30.
    [Google Scholar]
  13. Hamilos, D. L., Leung, D. Y. M., Wood, R., Meyers, A., Stephens, J. K., Barkans, J., Bean, D. K., Kay, A. B. & Hamid, Q. ( 1993;). Association of tissue eosinophilia and cytokine mRNA expression of granulocyte-macrophage colony-stimulating factor and interleukin-3. J Allergy Clin Immunol 91, 39–48.
    [Google Scholar]
  14. Karma, P., Jokipii, L., Sipila, P., Luotonen, J. & Jokipii, A. M. ( 1979;). Bacteria in chronic maxillary sinusitis. Arch Otolaryngol 105, 386–390.[CrossRef]
    [Google Scholar]
  15. Murray, P. R., Baron, E. J., Pfaller, M. A., Trenover, P. C. & Yolken, R. H. ( 1999;). Manual of Clinical Microbiology, 7th edn. Washington, DC: American Society for Microbiology.
  16. Nord, C. E. ( 1995;). The role of anaerobic bacteria in recurrent episodes of sinusitis and tonsillitis. Clin Infect Dis 20, 1512–1524.[CrossRef]
    [Google Scholar]
  17. O'Callaghan, D. H., Morris, A., Kirby, S. M. & Shingler, A. H. ( 1972;). Novel method for detection of β-lactamase by using a chromogenic cephalosporin substrate. Antimicrob Agents Chemother 1, 283–288.[CrossRef]
    [Google Scholar]
  18. Palva, T., Gronroos, J. A. & Palva, A. ( 1962;). Bacteriology and pathology of chronic maxillary sinusitis. Acta Otolaryngol 54, 159–175.[CrossRef]
    [Google Scholar]
  19. Su, W.-Y., Liu, C., Hung, S.-Y. & Tsai, W.-F. ( 1983;). Bacteriological study in chronic maxillary sinusitis. Laryngoscope 93, 931–934.
    [Google Scholar]
  20. Summanen, P., Baron, E. J., Citron, D. M., Strong, C. A., Wexler, H. M. & Finegold, S. M. ( 1993;). Wadsworth Anaerobic Bacteriology Manual, 5th edn. Belmont, CA: Star Publishing.
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.45767-0
Loading
/content/journal/jmm/10.1099/jmm.0.45767-0
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