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August 28, 1981, Vol 246, No. 9 >
ARTICLE | August 28, 1981

Bacteriologic Features of Chronic Sinusitis in Children FREE

Itzhak Brook, MD, MS
[+] Author Affiliations

Reprint requests to Naval Medical Research Institute, National Naval Medical Center, Bethesda, MD 20014 (Dr Brook).


JAMA. 1981;246(9):967-969. doi:10.1001/jama.1981.03320090029022
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References

Aspiration of chronically inflamed sinuses was aseptically performed in 40 children. The median age was 11 years (range, 6 to 16 years). The sinuses were the maxillary (15 cases), ethmoid (13), and frontal (seven). Pansinusitis was present in five patients. All aspirates were cultured for aerobes and anaerobes and yielded bacterial growth in 37 patients. A total of 121 isolates (97 anaerobic and 24 aerobic) were recovered, accounting for 2.7 anaerobes and 0.6 aerobes per specimen. Anaerobic organisms were recovered from all 37 culture-positive specimens, and in 14 cases (38%) they were mixed with aerobic organisms. The predominant anaerobic organisms were Bacteroides species (36), anaerobic Gram-positive cocci (28), and Fusobacterium species (13). The predominant aerobic isolates were α-hemolytic streptococci (seven), Staphylococcus aureus (seven), and Haemophilus species (four). These findings indicate the major role of anaerobic organisms in the polymicrobial cause of long-term sinusitis in children.

(JAMA 1981;246:967-969)

REFERENCES

1 +
Catlin FI, Cluff LE, Reynolds RC:  The bacteriology of acute and chronic sinusitis . South Med J 1965;;58:1497-1502.
2 +
Hamory BH, Sande MA, Austin S Jr, et al:  Etiology and therapy of acute maxillary sinusitis . J Infect Dis 1979;;139:197-202.
3 +
Finegold SM: Anaerobic Bacteria in Humans Disease . New York, Academic Press Inc, 1977;,  chap 6 .
4 +
Sutter VL, Vargo VL, Finegold SM: Wadsworth Anaerobic Bacteriology Manual , ed 2. Los Angeles, UCLA Extension Division, 1975;.
5 +
Lennette EH, Spaulding EH, Traunt JR: Manual of Clinical Microbiology , ed 2. Washington, DC, American Society for Microbiology, 1974;.
6 +
Evans FO, Sydnor B, Moore WE, et al:  Sinusitis of the maxillary antrum . N Engl J Med 1975;;293:735-739.
7 +
Frederick J, Braude AI:  Anaerobic infections of the paranasal sinuses . N Engl J Med 1974;;290:135-137.
8 +
Carenfelt C, Lundberg C, Nord CE, et al:  Bacteriology of maxillary sinusitis in relation to quality of the retained secretion . Acta Otolaryngol 1978;;86:298-302.
9 +
Samson OS, Clark K:  A current review of brain abscess . Am J Med 1973;;54:201-210.
10 +
Yoshikawa TT, Chow AW, Guze LB:  Role of anaerobic bacteria in subdural empyema: Report of four cases and review of 327 cases from the English literature . Am J Med 1975;; 58:99-104.
11 +
Drettner B, Lindholm CE:  The borderline between acute rhinitis and sinusitis . Acta Otolaryngol 1967;;64:508-513.
12 +
Carenfelt C, Lundberg C:  Purulent and non-purulent maxillary sinus secretions with respect to pO2, pCO2 and ph . Acta Otolaryngol 1977;;84:138-144.
13 +
Aust R, Drettner B:  Oxygen tension in the human maxillary sinus under normal and pathological conditions . Acta Otolaryngol 1974;;78:264-269.
14 +
Carenfelt C:  Pathogenesis of sinus empyema . Ann Otol 1979;;88:16-20.
15 +
Brook I, Calhoun L, Yocum P:  Beta lactamase-producing isolates of Bacteroides species from children . Antimicrob Agents Chemother 1980;;18:164-166.
16 +
Carenfelt C, Eneroth CM, Lundberg C, et al:  Evaluation of the antibiotic effect of treatment of maxillary sinusitis . Scand J Infect Dis 1975;;7:259-264.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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1 +
Catlin FI, Cluff LE, Reynolds RC:  The bacteriology of acute and chronic sinusitis . South Med J 1965;;58:1497-1502.
2 +
Hamory BH, Sande MA, Austin S Jr, et al:  Etiology and therapy of acute maxillary sinusitis . J Infect Dis 1979;;139:197-202.
3 +
Finegold SM: Anaerobic Bacteria in Humans Disease . New York, Academic Press Inc, 1977;,  chap 6 .
4 +
Sutter VL, Vargo VL, Finegold SM: Wadsworth Anaerobic Bacteriology Manual , ed 2. Los Angeles, UCLA Extension Division, 1975;.
5 +
Lennette EH, Spaulding EH, Traunt JR: Manual of Clinical Microbiology , ed 2. Washington, DC, American Society for Microbiology, 1974;.
6 +
Evans FO, Sydnor B, Moore WE, et al:  Sinusitis of the maxillary antrum . N Engl J Med 1975;;293:735-739.
7 +
Frederick J, Braude AI:  Anaerobic infections of the paranasal sinuses . N Engl J Med 1974;;290:135-137.
8 +
Carenfelt C, Lundberg C, Nord CE, et al:  Bacteriology of maxillary sinusitis in relation to quality of the retained secretion . Acta Otolaryngol 1978;;86:298-302.
9 +
Samson OS, Clark K:  A current review of brain abscess . Am J Med 1973;;54:201-210.
10 +
Yoshikawa TT, Chow AW, Guze LB:  Role of anaerobic bacteria in subdural empyema: Report of four cases and review of 327 cases from the English literature . Am J Med 1975;; 58:99-104.
11 +
Drettner B, Lindholm CE:  The borderline between acute rhinitis and sinusitis . Acta Otolaryngol 1967;;64:508-513.
12 +
Carenfelt C, Lundberg C:  Purulent and non-purulent maxillary sinus secretions with respect to pO2, pCO2 and ph . Acta Otolaryngol 1977;;84:138-144.
13 +
Aust R, Drettner B:  Oxygen tension in the human maxillary sinus under normal and pathological conditions . Acta Otolaryngol 1974;;78:264-269.
14 +
Carenfelt C:  Pathogenesis of sinus empyema . Ann Otol 1979;;88:16-20.
15 +
Brook I, Calhoun L, Yocum P:  Beta lactamase-producing isolates of Bacteroides species from children . Antimicrob Agents Chemother 1980;;18:164-166.
16 +
Carenfelt C, Eneroth CM, Lundberg C, et al:  Evaluation of the antibiotic effect of treatment of maxillary sinusitis . Scand J Infect Dis 1975;;7:259-264.

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