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[Evaluation of predisposing factors and bacteriologic agents in pediatric rhinosinusitis]

Hülya Eyigör1, Sema Başak

  • 1Department of Otolaryngology, Aydin State Hospital, Aydin, Turkey. hulinar@yahoo.com

Kulak Burun Bogaz Ihtisas Dergisi : KBB = Journal of Ear, Nose, and Throat
|December 13, 2005
PubMed

Insights

This study identified common causes of acute rhinosinusitis in children, finding smoking, adenoid obstruction, and anatomical variations as frequent predisposing factors. Streptococcus pneumoniae and Haemophilus influenzae were the most common bacterial agents identified in pediatric patients.

Area of Science:

  • Pediatric Otolaryngology
  • Infectious Diseases

Background:

  • Acute rhinosinusitis (ARS) is a common pediatric condition with various potential predisposing factors.
  • Identifying these factors and causative pathogens is crucial for effective management and treatment strategies.

Purpose of the Study:

  • To investigate the predisposing factors and bacteriologic agents associated with acute rhinosinusitis in a pediatric population.
  • To correlate clinical findings with microbiological and radiological data in children with ARS.

Main Methods:

  • A cohort of 76 children diagnosed with ARS underwent detailed history taking, otolaryngologic examination, nasal endoscopy, allergy testing, and Water's radiography.
  • Middle meatal aspiration cultures were obtained to identify bacterial pathogens.
  • Patients were treated with antibiotics such as ampicillin-sulbactam, loracarbef, or amoxicillin-clavulanate, with a one-year follow-up for recurrence.

Main Results:

  • The most common symptoms included nasal obstruction (92.1%) and rhinorrhea (89.4%).
  • Predisposing factors identified were smoking history (51.3%), septal deviation (21.1%), and choanal obstruction by adenoid tissue (32.9%).
  • Pathology was noted in 93.2% of Water's graphs. Cultures revealed Streptococcus pneumoniae (41.1%) and Haemophilus influenzae (30.4%) as the most prevalent pathogens.

Conclusions:

  • Smoking, adenoid tissue obstruction, anatomical variations, and allergies are significant predisposing factors for ARS in children.
  • Streptococcus pneumoniae and Haemophilus influenzae are the primary bacterial agents responsible for pediatric ARS.
  • While treatment options varied, factors like adenoid size and allergy did not significantly impact treatment success.
Abstract

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