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[Nosocomial sinusitis in the intensive care unit: incidence, clinical characteristics and evolution]

A Arroyo-Sánchez¹

¹Unidad de Cuidados Intensivos, Hospital Víctor Lazarte Echegaray, Trujillo, Perú. abelsalvador@yahoo.com

Medicina Intensiva

|June 15, 2007

Abstract

Objective:

To describe incidence, epidemiologic characteristics, clinical manifestations, tomographic features, microbiologic findings and evolution of patients with nosocomial sinusitis (NS) in an Intensive Care Unit (ICU).

Design:

Retrospective and descriptive study.

Setting:

24-bed ICU from a public hospital.

Patients:

Patients admitted to the ICU for more than 48 hours who fulfilled CDC criteria of NS.

Results:

We found 18 cases of NS, that accounts for an incidence of 1.1% of all admitted patients. Average age was 46.3 +/- 18.3 years, with a predominance of males (89%): Average APACHE II was 20.2 +/- 6.3. All the cases had endotracheal intubation and 89% had a nasogastric tube. All the patients had fever and 83% purulent rhinorrhea or oral secretions. The maxillary sinus was the most affected (72%) followed by ethmoidal sinus (67%). A total of 66% of the patients had other SN associated infectious complications. ICU mortality was 5% and hospital mortality was 33%.

Conclusions:

NS incidence in this study was low, but the risk of infectious complications was high.

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