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KMID : 0361020000430040391
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 4 p.391 ~ p.395
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Microbiologic Study of Chronic Sinusitis in Children
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Choi Young-Chul
Kim Tae-Cheol
Jeon Eun-Ju
Park Yong-Soo
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Abstract
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Background and Objectives : The microbiology of chronic sinusitis in children can be anticipated according
to the patient’s age, clinical presentation, and immunologic state. In acute stage, viral upper respiratory
infections frequently precede bacterial superinfection by Streptococcus pneumoniae, Hemophilus influenzae,
and Moraxella catarrhalis. In contrast to acute sinusitis, α-hemolytic Streptococcus, coagulase negative
Staphylococcus and Staphylococcus aureus are common in chronic sinusitis, which may be caused by
exacerbations of infection with the bacterial species that cause acute disease. The use of empiric
antibiotics directed at the most offending organism is usually appropriate and effective in clinical situation.
But the emergency and increasing occurrence of antibiotic resistance has increased the failure rate.
Material and Methods : In this prospective study, 50 patients with the diagnosis of chronic sinusitis were
evaluated microbiologically by Sinoject (Atos, Sweden) guided aspiration.
Results : We cultured α-hemolytic Streptococcus in 14 patients, coagulase negative Staphylococcus in 4
patients, Staphylococcus aureus in three patients, gram-positive bacilli in two patients, Streptococcus
pneumoniae in one patient. The results of PCR for Hemophilus influenzae, Streptococcus pneumoniae,
Moraxella catarrhalis were 32%, 20%, 10%, respectively, and it showed higher detection rates than
conventional culture test.
Conclusion : We advise that all bacterial isolates of cultures of chronic sinusitis in children should
undergo appropriate typing and antibiotic sensitivity tests so that the appropriate antibiotic treatment may
be employed.
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KEYWORD
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Chronic paranasal sinusitis, Microbiology, Polymerase chain reaction,
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