The Role of Anaerobes in Chronic Sinusitis

Currently the role of nasal cytology in the diagnosis of chronic sinusitis is not well defined. Therefore, we compared the results of nasal cytology with the results of sinus radiography in 300 patients with allergic rhinitis who had both tests performed as part of their initial allergy evaluation. Radiography was significantly more likely to be positive when there were >5 neutrophils/high-power field or <5 eosinophils/high-power field on nasal cytology. These findings were fairly sensitive but nonspecific as predictors of radiographic pathology.

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A clinical and pathologic study of chronic sinusitis: The role of the eosinophil

Journal of Allergy and Clinical Immunology ◽

10.1016/0091-6749(88)90944-x ◽

1988 ◽

Vol 81 (5) ◽

pp. 867-875 ◽

Cited By ~ 213

Author(s):

S HARLIN ◽

D ANSEL ◽

S LANE ◽

J MYERS ◽

G KEPHART ◽

...

Keyword(s):

Chronic Sinusitis ◽

Pathologic Study

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The etiological role of concha bullosa in chronic sinusitis

European Radiology ◽

10.1007/bf00182491 ◽

1996 ◽

Vol 6 (4) ◽

pp. 550-552 ◽

Cited By ~ 20

Author(s):

W. W. M. Lam ◽

E. Y. Liang ◽

J. K. S. Woo ◽

A. Van Hasselt ◽

C. Metreweli

Keyword(s):

Chronic Sinusitis ◽

Concha Bullosa ◽

Etiological Role

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Bacteriology of Chronic Maxillary Sinusitis in Adults

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948909800605 ◽

1989 ◽

Vol 98 (6) ◽

pp. 426-428 ◽

Cited By ~ 99

Author(s):

Itzhak Brook

Keyword(s):

Staphylococcus Aureus ◽

Chronic Sinusitis ◽

Maxillary Sinusitis ◽

Anaerobic Bacteria ◽

Chronic Maxillary Sinusitis ◽

Aerobic And Anaerobic ◽

And Staphylococcus Aureus ◽

Culture Positive ◽

Maxillary Sinuses

Aspirates of 72 chronically inflamed maxillary sinuses were processed for aerobic and anaerobic bacteria. Bacterial growth was present in 66 of the 72 specimens (92%). Anaerobic bacteria were isolated in 58 of the 66 culture-positive specimens (88%). Anaerobes only were recovered in 37 cases (56%) and in 21 (32%) they were mixed with aerobic or facultative bacteria. Aerobic or facultative bacteria were present in eight cases (12%). A total of 185 isolates (2.8 per specimen) — 131 (2.0 per specimen) anaerobes and 54 (0.8 per specimen) aerobes or facultatives — were isolated. The predominant anaerobic organisms were anaerobic cocci and Bacteroides sp, and the predominant aerobes or facultatives were Streptococcus sp and Staphylococcus aureus. Twelve of the 27 Bacteroides sp that were tested for β-lactamase (44%) produced the enzyme. These findings indicate the major role of anaerobic organisms in chronic sinusitis.

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