The Bacterial Flora of Sinusitis with an in Vitro Study of the Bacterial Resistance to Antibiotics

Lystad, A; Berdal, P; Lund-Iversen, Lauritz

doi:10.3109/00016486409134592

Cited by 48 publications

(31 citation statements)

References 8 publications

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“…These facts in mind, the importance of a distinct definition of all factors on which the diagnosis is based upon must be emphasized since the etiology of the sinus changes is so complex. The relationships between bacteriology, age and season presented here are mostly in good agreement with previous findings [Kortekangas, 1964;Lystad et al, 1964;K innman et al, 1967;N ylen et al, 1972], though the incidence of ^-streptococci appears to have declined [Bjorkvall, 1950;P iquet et al, 1956]. Bjorkvall [1950], moreover, did not find dissimilar bacteria in the maxillary sinuses of his patients with bilateral sinusitis in contrast to the findings of the present investigation.…”

Section: Discussioncontrasting

confidence: 51%

“…the appearance of sinus secretion [Bjorkvall, 1950], the clinical picture [Kortekangas, 1964;Kinnman et al, 1967;Brandt et al, 1969], and radiological and clinical methods [Lystad et al, 1964]. This lack of a common definition makes it difficult to compare the findings in the many reports on the bacteriology of this condition.…”

Section: Discussionmentioning

confidence: 96%

“…Staph, aureus is found in 4-10 °/o of maxillary sinusitis cases regardless of sampling technique, but it is usually taken to indicate nasal contamina tion of the specimens [Palva et al, 1962;Lystad et al, 1964], L ystad et al [1964] recovered this bacterium from 4°/o of aspirated sinus secre tions and 15 % of sinus washings. Even in specimens taken under optimal conditions, i.e.…”

Section: Discussionmentioning

confidence: 99%

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Bacteriological Findings in Acute Maxillary Sinusitis

Axelsson¹,

Brorson²

1972

ORL

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A study was made of the bacteriology of acute maxillary sinusitis, diagnosis being made on the basis of clinical and radiological examinations. Material for study was taken only from maxillary sinuses with secretion, and consisted of 243 secretion specimens from 171 untreated patients. Bacteriological findings were in good agremeent with other recent studies. Most specimens yielded Diplococcuspneumoniae or Haemophilusinfluenzae or no growth. The findings were analyzed with regard to age and seasonal distribution. Staphyiococcusaureus, which is sometimes taken to indicate the degree of nasal contamination, was present in 10% of cultures. Decreased sensitivity to penicillin was found in 24% of all bacteria isolated, and to tetracycline in 3.5%. Stress is placed on the need for an accurate definition of this condition. The suitability of penicillin for the treatment of acute maxillary sinusitis is questioned.

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Section: Discussioncontrasting

confidence: 51%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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Bacteriological Findings in Acute Maxillary Sinusitis

Axelsson¹,

Brorson²

1972

ORL

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“…Percentage growth of Staphylococcus aureus in cultures has varied from 1% to 29% with the CaldwellLuc [22][23][24][25] technique; and between 15% and 52% in anterior rhinoscopy 24,26,27 . In middle meatus cultures endoscopically sampled from the middle meatus, Bolger et al 28 found12% of Staphylococcus aureus, Hsu et al 29 and Klossek et al 6 cultivated 19% and Nadel et al 14 , 23%.…”

Section: Control Groupmentioning

confidence: 99%

Microbiologia do meato médio na rinossinusite crônica

Araújo

Dall²,

Cantarelli

et al. 2007

Rev. Bras. Otorrinolaringol.

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Thi s was a prospective study which assessed endoscopically collected middle meatus secretions in patients with chronic rhinosinusitis (CRS) and compared those findings with microbiological data of healthy individuals. Methods: Middle meatus samples were collected from 134 CRS patients. In the laboratory, samples were Gram stained for microscopic examination with white blood cels (WBCs) count and also send for aerobic, anaerobic and fungal cultures. Fifty volunteers served as control. Results: In CRS patients a total of 220 microorganisms were isolated. The most frequent microorganisms were Staphylococcus aureus (31%), coagulase-negative Staphylococcus (CNS) (23%). Gram-negative or facultative microorganisms were isolated in 37% of the samples, anaerobes in 12% and fungi in 14%. Seventy four percent of the samples with positive cultures presented many or few WBC. In the control group, 76% of cultures were positive for aerobes and 12% for fungi. No anaerobes were isolated. There were rare or no WBC in the fifty samples. The most frequent microorganisms were CNS (40%), Staphylococcus aureus (18%). Conclusion: The microbiology of the middle meatus is similar in CRS patients and healthy individuals. Despite this, there was an important difference between the WBC count in these two groups, which helps to distinguish an infective from a saprophitic microorganism.

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“…In most studies on the bacteriology of acute maxillary sinusitis (AMS) Streptococ cus pneumoniae and Haemophilus influen zae have been found to be the most common pathogens [Björkwall, 1950;Lystad et al, 1964;Axelsson and Brorson, 1973], The role of H. influenzae as an AMS-pathogen has been shown to be increasing during the pre ceding 10-20 years [Lystad et al, 1964;Rantanen and Arvilommi, 1973;Evans et al, 1975;van Cauwenberge et al, 1976;Gwaltney et al, 1981], At the same time the pre viously important cause of AMS, Streptococ cus pyogenes has been reported to have de creased in frequency [Lystad et al, 1964], Several studies have suggested a pathogenic role for Branhamella catarrhalis in AMS [Brorson et al, 1976;Chapman et al, 1985], Earlier literature contains several studies in which staphylococci have been found in rel atively large percentages from the maxillary antri. Most authors, however, regard these bacteria as contaminants from the nasal cav ity, although opposing opinions have also been presented.…”

mentioning

confidence: 99%

The Bacteriology of Acute Maxillary Sinusitis

Ylikoski¹,

Savolainen²,

Jousimies‐Somer³

1989

ORL

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Sinus secretions obtained by antral aspiration from 347 patients with acute maxillary sinusitis were examined bacteriologically. Special attention was paid to the method by which anaerobic bacteria could be recovered. On the total, 485 sinus secretion samples were examined, of these 336 were aspirates, 149 yields of injection-aspirations. Aerobic bacteria were cultured from 263 aspirates and from 100 injection-aspiration samples. Only anaerobes were recovered from 6 sinuses. Bacterial culture was negative in 115 sinuses (24%). The most common pathogens isolated were Haemophilusinfluenzae (50.5%), Streptococcuspneumoniae (18.5%), Streptococcuspyogenes (5%) and Branhamellacatarrhalis (1.5%). A true anaerobic infection was considered to be present in only 7 sinuses (1.5%) indicating that anaerobes are not a significant cause of acute maxillary sinusitis. According to this study the most common pathogen in acute maxillary sinusitis in young adults is H. influenzae. From this follows that in such patients aminopenicillins may be a more appropriate choice than conventional penicillin in the antimicrobial treatment of acute maxillary sinusitis.

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The Bacterial Flora of Sinusitis with an in Vitro Study of the Bacterial Resistance to Antibiotics

Cited by 48 publications

References 8 publications

Bacteriological Findings in Acute Maxillary Sinusitis

Bacteriological Findings in Acute Maxillary Sinusitis

Microbiologia do meato médio na rinossinusite crônica

The Bacteriology of Acute Maxillary Sinusitis

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