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KMID : 0376119940210010113
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Medical Journal of the Red Cross Hospital
1994 Volume.21 No. 1 p.113 ~ p.120
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Bacteriologic Study of Chronic Maxillary Sinusitis
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Abstract
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Chronic paranasal sinusitis is one of the most common diseases in the otolary-nogological field. Among many therapeutic modalities, antibiotic therapy is the most important part. In selecting antibiotics, there must be cultures and isolation of
the
etiologic microorganism, and the tests identfing the sensitivity and the resistance to the various kind of antibiotics.
The authors cultured the secretion of sinuses from 44 patients, isolated the mieroorganisms and examined the susceptibility to antibiotics.
The authors cultured the secretion of sinuses from 44 patients, isolated the microorganisms and examined the susceptibility to antibiotics.
@ES The reslts were as folls:
@EN 1) Among 44 patients, bacterias were isolated in 14 patients(32%).
2) 6 of the isolates of bacteria were coagulase positive staphylococcus(40%), 4 were coagulase negative Staphylococcus(27%), and 3 were hemolytic streptoco-ccus(20%).
3) Nasal obstruction was the most common stmptom, 39 patients(89%), and the 2nd was rhinorrhea, 29 patients (66%).
4) In purulent sinus secretion the culture rate was 46%(11 of 24 cases), and in mucoid that was 15%(3 of 20 cases).
5) In patients not receiving antibiotic therapy, ther was isolation of strains in 12 of 29 cases (43%), and in those of receiving antibiotic therapy, 4 of 15 cases(27%).
6) In 7 cases the chronic maxillary sinusitis was associated with hypertophy of tonsils and adenoid, and the sinus secretion was mucoid and sterile in all the cases.
7) The isolated strais were susceptible to cefoperazone, cefoxitin and carbenicillin, but resistant to dandamycin, gentamycin, and penicillin.
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