scholarly journals Assess the outcome of pre and postoperative bacterial culture in sinonasal polyposis cases under FESS

2019 ◽  
Vol 5 (2) ◽  
pp. 373
Author(s):  
C. P. Sudheer ◽  
T. Dinesh Singh
Keyword(s):  
Staphylococcus Aureus ◽  
Endoscopic Sinus Surgery ◽  
Bacterial Culture ◽  
Lateral Wall ◽  
Operative Management ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Chief Complaints ◽  
Bacteria Culture ◽  
Sinonasal Polyposis

<p class="abstract"><strong>Background:</strong> Sinonasal polyposis is multifactorial condition characterised by mucous membrane lesions in nose and paranasal sinuses. Pre and post-operative management of cases undergoing functional endoscopic sinus surgery (FESS) give ideal surgical outcome. This study designed to assess pre and postoperative bacterial profile in sinonasal polyposis cases undergoing Functional endoscopic sinus surgery.</p><p class="abstract"><strong>Methods:</strong> A total 100 cases ready for endonasal endoscopic surgery with chief complaints of sinonasal polyposis were recruited for the study. Pre and post-operative nasal swabs were collected from lateral wall, floor and area over the polyps. Sensitivity test was performed by using commonly available antibiotics i.e. ceftriaxone, erythromycin, ampicillin, gentamycin, ciprofloxacin, cephalexin, doxycycline and co-trimoxazole.  </p><p class="abstract"><strong>Results:</strong> Pre-operative bacterial culture showed growth of <em>Staphylococcus </em>coagulase negative<em> </em>(CONS) in 32% cases, <em>Staphylococcus aureus</em> in 24%. Post-operative bacteria culture showed<em> Staphylococcus </em>coagulase negative<em> </em>(CONS) in 22% cases, <em>Staphylococcus aureus</em> in 22% cases. <em>Staphylococcus </em>coagulase negative (CONS) and <em>Staphylococcus aureus</em> had resistance to Ampicillin and Gentamycin.</p><p class="abstract"><strong>Conclusions:</strong> <em>Staphylococcus </em>coagulase negative (CONS) and <em>Staphylococcus aureus are </em>isolated commonly in pre and post-operative bacteria culture. Ampicillin, gentamicin, cefotaxime and ceftriaxone are primary choice for intravenous antibiotics in current clinical practice and in al surgical procedures including endoscopic sinus procedures.</p>

scholarly journals STUDY OF BACTERIAL CULTURE IN SINONASAL POLYPOSIS PATIENTS UNDERGOING ENDOSCOPIC SINUS SURGERY.

2018 ◽  
Vol 6 (4) ◽  
pp. 1250-1254
Author(s):  
Venkateswaran P ◽  
◽  
MS DLO ◽  
Dhinakaran N ◽  
◽  
...  
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Bacterial Culture ◽  
Sinus Surgery ◽  
Sinonasal Polyposis

Nasal Mycology of Chronic Rhinosinusitis

2005 ◽  
Vol 19 (2) ◽  
pp. 131-133 ◽  
Author(s):  
Rong-San Jiang ◽  
Mao-Chang Su ◽  
Jen-Fu Lin
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Bacterial Culture ◽  
Skin Testing ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Fungal Culture ◽  
Sterile Water ◽  
Culture Methods

Background Ponikau used a novel collection and culturing method to recover fungi from nasal secretion in patients with chronic rhinosinusitis. The same method had been used previously in Europe with a similar result. However, the use of Ponikau's method has not been reported in Asia. Methods Fifty-one patients with chronic rhinosinusitis who were scheduled for functional endoscopic sinus surgery were enrolled in this study. One day before functional endoscopic sinus surgery, swab specimens were obtained from middle meatuses and were sent to the microbiology laboratory for routine bacterial and fungal cultures. Then, the same nasal cavity was lavaged with 20 mL of sterile water. The exhaled fluid was collected and processed using the Ponikau method. Skin testing with Candida extract was done also in all patients. The results obtained by different culture methods were compared. Results Bacteria grew from 45 of 51 swab specimens. The culture rate was 88.2%. Fungi were cultured from 6 of 51 swab specimens (11.8%) and from 25 of 51 lavage specimens (49%). The fungal culture rates were significantly different between swab and lavage specimens (p < 0.001). Candida was the most common cultured fungi in the lavaged specimens. Conclusions The study showed that Ponikau's method resulted in a higher fungal culture rate than that obtained with the swab method, but the culture rate was lower than the bacterial culture rate. Additional study is needed to investigate the role of fungi in the pathogenesis of chronic rhinosinusitis.

The Impact of Screening Sinus CT on the Planning of Functional Endoscopic Sinus Surgery

1991 ◽  
Vol 105 (6) ◽  
pp. 802-813 ◽  
Author(s):  
Jerry W. Sonkens ◽  
H. Ric Harnsberger ◽  
G. Marsden Blanch ◽  
Robert W. Babbel ◽  
Steven Hunt
Keyword(s):  
Inflammatory Disease ◽  
Endoscopic Sinus Surgery ◽  
Patient Management ◽  
Individual Case ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Central Feature ◽  
The Individual ◽  
The Impact ◽  
Sinonasal Polyposis

The clinical and radiologic records of 500 sequential patients who underwent screening sinus CT as a prelude to possible functional endoscopic sinus surgery (FESS) were reviewed in order to answer three clinical-radiologic questions: (1) Can distinct radiologic patterns of inflammatory disease be identified on screening sinus CT (SSCT)? (2) If so, what are these radiologic patterns? (3) How do the findings seen on SSCT influence the endoscopic surgical plan? Five basic radiologic patterns of sinonasal inflammatory disease were identified among the 500-member patient population. These were based on known patterns of mucociliary drainage correlated with obstructive patterns observed on the CT scans. These radiologic batterns included: (1) Infundibular (129 of 500 or 26%), (2) ostiomeatal unit (126 of 500 or 25%), (3) sphenoethmoidal recess (32 of 500 or 6%), (4) sinonasal polyposis (49 of 500 or 10%), and (5) sporadia (unclassifiable) (121 of 500 or 24%) patterns. Normal SSCT was seen in 133 of the 500 patients (27%). Although the ostiomeatal unit is the central feature in sinonasal inflammatory disease, obstruction of the infundibulum alone or of the sphenoethmoidal recess can cause unique inflammatory patterns of disease that require tailored FESS. The identification of sinonasal polyposis raises a different set of FESS considerations. The sporadic pattern of inflammatory disease, when identified, creates unique FESS challenges, depending on the specific sinus or sinuses involved. Assignment of these patterns to the individual case also assists in patient management by grouping patients into nonsurgical (normal CT), routine (infundibular, ostiomeatal unit, and most sporadic patterns) and complex (sinonasal polyposis and sphenoethmoidal recess) surgical groups.

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