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Subacute sinusitis in children.

E R Wald1, C Byers, N Guerra

  • 1Department of Pediatrics, University of Pittsburgh School of Medicine, Children's Hospital, PA 15213.

The Journal of Pediatrics
|July 1, 1989
PubMed
Summary
This summary is machine-generated.

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Subacute maxillary sinusitis in children is often caused by common bacteria like Streptococcus pneumoniae. Findings in children are similar to acute sinusitis, with nasal discharge and cough being key symptoms.

Area of Science:

  • Pediatric Otolaryngology
  • Infectious Diseases
  • Microbiology

Background:

  • Subacute maxillary sinusitis in children lacks detailed bacteriologic characterization.
  • Understanding causative agents is crucial for effective pediatric respiratory infection management.

Purpose of the Study:

  • To delineate the bacteriologic characteristics of subacute maxillary sinusitis in children aged 2-12 years.
  • To compare pediatric subacute maxillary sinusitis with acute forms.

Main Methods:

  • Evaluated 40 children (2-12 years) with prolonged respiratory symptoms (30-120 days).
  • Collected sinus aspirates from 52 maxillary sinuses for bacterial culture and colony counts.
  • Assessed clinical presentation and radiographic findings.

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Main Results:

  • Common symptoms included nasal discharge and cough; radiographic findings showed opacification and mucosal thickening.
  • Bacterial pathogens, primarily Streptococcus pneumoniae, Haemophilus influenzae, and Branhamella catarrhalis, were identified in 65% of children.
  • High bacterial loads (≥10^4 CFU/mL) were found in 58% of aspirates.
  • Twenty-five percent of isolates were beta-lactamase producing, some from patients on prior antibiotics.

Conclusions:

  • Subacute maxillary sinusitis in children shares similar causative organisms, clinical presentation, and radiographic findings with acute maxillary sinusitis.
  • This study provides essential bacteriologic data for pediatric subacute sinusitis.
  • Findings support the similarity between acute and subacute presentations in this age group.