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Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels
Published on: August 7, 2017
Is there any association between adenoid biofilm and upper airway infections in pediatric patients?
Gholamreza Bayazian1, Shirin Sayyahfar1, Mahdi Safdarian1
1Department of Ear, Nose, and Throat, Head and Neck Research center, Iran University of Medical Sciences, Hazrat Rasoul Akram Hospital, Tehran, Iran.
Insights
The extent of adenoid biofilms in children is linked to frequent upper airway infections. Biofilms on adenoid tissue may act as reservoirs for chronic inflammation and recurrent infections.
Area of Science:
- Otorhinolaryngology
- Microbiology
- Pediatric Health
Background:
- Recurrent upper airway infections (UAIs) are common in children.
- Adenoid hypertrophy often leads to airway obstruction and sleep-disordered breathing.
- The role of microbial biofilms in chronic adenoid-related issues is increasingly recognized.
Purpose of the Study:
- To investigate the association between adenoid biofilms and the frequency of UAIs in children with upper airway obstruction.
- To quantify the extent of biofilm formation on adenoid tissue.
Main Methods:
- A cross-sectional study involving 57 pediatric patients undergoing adenoidectomy for obstructive sleep apnea.
- Adenoid tissue samples were analyzed using environmental scanning electron microscopy to assess biofilm extent.
- Image analysis software confirmed biofilm presence and grading.
Main Results:
- Biofilm structures were detected in 100% of adenoid samples.
- A statistically significant correlation was found between the extent of biofilm grading and the frequency of UAIs (p<0.001).
- No significant correlation was observed between biofilm extent, sex, or adenoid size.
Conclusions:
- The extent of adenoid biofilm significantly correlates with the rate of upper airway infections in children.
- Adenoid biofilms may serve as reservoirs for microorganisms, contributing to chronic inflammation and recurrent infections.
- This finding highlights the potential impact of biofilms on pediatric airway health.
Aim:
To evaluate the association of the presence and extent of adenoid biofilms and the frequency of upper airway infections in children with upper airway obstruction.
Material And Methods:
This cross-sectional study was conducted from October 2014 to December 2015 on pediatric patients who were candidates for adenoidectomy due to obstructive sleep apnea. After removal of the adenoid tissue and fixation in 2.5% glutaraldehyde, the samples were sent to the electron microscopy unit. The extent of biofilm formation was examined using environmental scanning electron microscopy. These results were then confirmed using image analysis software.
Results:
Fifty-seven children with a mean age of 7.31 (±2.65) years were included in the study. Forty-three (75.4%) were male and 14 (24.6%) were female. The average number of upper airway infections during the last 12 months before adenoidectomy was 10.01 (±5.38). Biofilm structures were detected in all (100%) samples. As the main outcome, the extent of biofilm grading exhibited a statistically significant correlation with the frequency of upper airway infections (p<0.001). There was no significant correlation between sex and adenoid size with the biofilm extent.
Conclusion:
The present study showed that the extent of adenoid biofilm had a significant relationship with the frequency of upper airway infection rate. It seems that the presence of a biofilm on the adenoid surface as a reservoir for microorganisms could cause chronic inflammation.
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