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Updated: Sep 26, 2026

Characterization of Inflammatory Responses During Intranasal Colonization with Streptococcus pneumoniae
Published on: January 17, 2014
[Bacterial flora as a potential etiopathogenic factor for nasal polyps]
Beata Rostkowska-Nadolska1, Małgorzata Fleischer
1Kliniki Otolaryngologii, Akademii Medycznej we Wrocławiu.
Abstract:
Nasal polyps develop in patients with disturbed local homeostasis of nasal mucosa. Research of Bernstein and Stoop showed the influence of inflammation of nasal mucosa on growth of nasal polyps. Bacterial and viral infections play significant role in development and intensification of inflammatory and immunological process. Many bacteria produce factors which damage cilia cells, cause dyskinesis of cilia and destroy respiratory epithelium. Disturbed muco-ciliar cleaning permits bacteria to penetrate through mucous layer and facilitate their adhesion and colonization on the cells of respiratory epithelium. Adhesion and successive colonization with bacteria multiplication can lead to inflammatory process. Nose swabs results were different in each examined group. The aim of this work was to define bacterial flora in patients with nasal polyps and in patients after polypectomia and to compare it to bacterial flora in healthy patients. Nose swabs were performed in 51 patients with nasal polyps before polypectomia and additional in 15 patients after polypectomia. 25 healthy medical students were a control group. The patients were divided into two groups: I. patients with nasal eosinophilic polyps, II. patients with nasal neutrophilic polyps. In the group of patients with both neutrophilic and eosinophilic polyps dominating bacterial flora included bacteria which usually are the cause of inflammation. In the group of patients after polypectomia bacterial flora was not different from that which was found in patients with polyps.
Insights
Bacterial flora in patients with nasal polyps, regardless of type (eosinophilic or neutrophilic), often includes common inflammatory bacteria. Post-polypectomy, the bacterial profile remains similar to that found in patients with nasal polyps.
Area of Science:
- Otolaryngology
- Microbiology
- Immunology
Context:
- Nasal polyps are linked to disrupted nasal mucosa homeostasis and inflammation.
- Bacterial and viral infections significantly contribute to the inflammatory and immunological processes involved in polyp development.
- Bacterial factors can damage cilia, impair mucociliary clearance, and promote epithelial damage, facilitating bacterial colonization.
Purpose:
- To identify and compare the bacterial flora in patients with nasal polyps (eosinophilic and neutrophilic) and after polypectomy, against a control group of healthy individuals.
- To investigate the role of bacterial infections in the pathogenesis and persistence of nasal polyps.
Summary:
- Nose swabs were analyzed from 51 patients with nasal polyps (before surgery), 15 patients post-polypectomy, and 25 healthy controls.
- Dominant bacterial flora in both eosinophilic and neutrophilic nasal polyp groups comprised bacteria typically associated with inflammation.
- Bacterial flora in patients after polypectomy did not significantly differ from that observed in patients with active nasal polyps.
Impact:
- Findings suggest that bacterial presence and composition may play a persistent role in the inflammatory environment of nasal polyps, even after surgical removal.
- Understanding the specific bacterial profiles can inform future therapeutic strategies targeting the microbiome in chronic rhinosinusitis with nasal polyps.
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