The Ætiology of Chronic Rhinitis and Sinusitis in Children

Wilson, T. G.

doi:10.1017/s0022215100063830

Cited by 11 publications

(5 citation statements)

References 29 publications

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“…The adenoids are believed to play a role in several infectious and noninfectious upper airway illnesses. They may be implicated in the etiology of otitis media, 1–6 rhinosinusitis, 1,4,7,8 adenotonsillitis, 9 and chronic nasal obstruction, because of their hypertrophy. 10,11 …”

Section: Introductionmentioning

confidence: 99%

“…The adenoids are believed to play a role in several infectious and noninfectious upper airway illnesses. They may be implicated in the etiology of otitis media, 1-6 rhinosinusitis, 1,4,7,8 adenotonsillitis, 9 and chronic nasal obstruction, because of their hypertrophy. 10,11 Establishing the unique microbiology of the adenoids in patients with a variety of pathological conditions is important, as it can assist in their management.…”

Section: Introductionmentioning

confidence: 99%

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Microbiology of Healthy and Diseased Adenoids

2000

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Objective: To determine the qualitative and quantitative microbiology of core adenoid tissue obtained from four groups of 15 children each, with recurrent otitis media (ROM), recurrent adenotonsillitis (RAT), obstructive adenoid hypertrophy (OAH), and occlusion or speech abnormalities (controls). Methods: Core cultures of surgically removed diseased adenoids and of healthy controls were cultured for aerobic and anaerobic bacteria. Results: Polymicrobial aerobic-anaerobic flora were present in all instances. Ninety-four organisms were isolated from control specimens, and 148 from ROM, 142 from RAT, and 149 from OAH specimens. The predominant aerobes in all groups were ␣-hemolytic and ␥-hemolytic streptococci, Haemophilus influenzae, Staphylococcus aureus, group A ␤-hemolytic streptococci, and Moraxella catarrhalis. The prominent anaerobes were Peptostreptococcus, Prevotella, and Fusobacterium species. The number, concentration and distribution of types of most organisms did not vary among the three groups of diseased adenoids. However, the number of those that are potential pathogens and those that produced ␤-lactamase was lower in the control than the diseased adenoids (P < .001). Conclusion: The study highlights the importance of the bacterial load in the adenoids in contributing to the etiology of ROM, RAT, and OAH.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Microbiology of Healthy and Diseased Adenoids

2000

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“…AN aspect of the immune system that continues to elude the medical researcher is the function of the tonsils. In the past numerous investigators have_postulated an immunological function for the tonsils based solely on its lymphoepithelial structure and prediliction for infection (1)(2)(3)(4)(5)(6).…”

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confidence: 99%

Immunoglobulin changes in a pediatric otolaryngic patient sample subsequent to T & A

et al. 1972

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“…T he adenoids may play a role in several infectious and noninfectious upper respiratory tract illnesses. They may be implicated in the etiology of otitis media, 1–5 rhinosinusitis, 1,3,6,7 adenotonsillitis, 8 and chronic nasal obstruction 9,10 …”

mentioning

confidence: 99%

“…The adenoids may play a role in several infectious and noninfectious upper respiratory tract illnesses. They may be implicated in the etiology of otitis media, [1][2][3][4][5] rhinosinusitis, 1,3,6,7 adenotonsillitis, 8 and chronic nasal obstruction. 9,10 Nondiseased adenoids contain few potentially pathogenic bacteria and harbor a significantly greater concentrations of nonpathogens.…”

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confidence: 99%

Effect of amoxicillin or clindamycin on the adenoids bacterial flora

Brook

Shah

2003

Otolaryngol.--head neck surg.

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OBJECTIVE: We sought to compare the effect on the adenoid bacterial flora of patients with recurrent otitis media of antimicrobial therapy with amoxicillin (Am) or clindamycin (C). PATIENTS AND METHODS: Forty-five children scheduled for elective adenoidectomy participated in a prospective randomized study. They were divided into 3 groups of 15 each to receive either no therapy (control) or 10 days of therapy with Am or C. Core adenoid tissues was quantitatively cultured for aerobic and anaerobic bacteria. RESULTS: Polymicrobial aerobic-anaerobic flora were present in all instances. The predominant aerobes in all groups were α-hemolytic and γ-hemolytic streptococci, Haemophilus influenzae, Staphylococcus aureus, group A β-hemolytic streptococci, and Moraxella catarrhalis. The prominent anaerobes were Peptostreptococcus, Prevotella, and Fusobacterium spp. The number of isolates was significantly reduced in those treated with Am (n = 110, P < 0.05) or C (n = 58, P < 0.001) compared with control (n = 148). The number of bacteria per gram/tissue was lower in those treated with either antibiotics. The number of potential pathogens was lower in those treated with C compared with the other 2 groups ( P < 0.001). The number of β-lactamase-producing bacteria was lower in those treated with C than in those treated with Am ( P < 0.025) or control ( P < 0.001). CONCLUSIONS: These data illustrate the ability of C and, to a lesser degree, of Am to reduce the bacterial load as well as potential pathogens and β-lactamase-producing bacteria from the adenoids of children with recurrent otitis media.

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The Ætiology of Chronic Rhinitis and Sinusitis in Children

Cited by 11 publications

References 29 publications

Microbiology of Healthy and Diseased Adenoids

Microbiology of Healthy and Diseased Adenoids

Immunoglobulin changes in a pediatric otolaryngic patient sample subsequent to T & A

Effect of amoxicillin or clindamycin on the adenoids bacterial flora

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