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Related Experiment Videos

Bacteriologic features of chronic sinusitis in children

I Brook

    JAMA
    |August 28, 1981
    PubMed
    Summary

    Chronic sinusitis in children is often caused by multiple bacteria, with anaerobic organisms playing a significant role. This study highlights the prevalence of anaerobic bacteria in pediatric sinus infections.

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    Area of Science:

    • Microbiology
    • Pediatric Otolaryngology
    • Infectious Diseases

    Background:

    • Chronic sinusitis is a common condition in children, often leading to persistent symptoms and complications.
    • Understanding the microbial etiology of chronic sinusitis is crucial for effective treatment strategies.

    Purpose of the Study:

    • To investigate the microbiological profile of chronically inflamed sinuses in pediatric patients.
    • To identify the predominant aerobic and anaerobic bacteria involved in long-term sinusitis in children.

    Main Methods:

    • Aseptic aspiration of sinus fluid from 40 children with chronic sinusitis.
    • Culture of aspirates for both aerobic and anaerobic bacteria.
    • Identification and quantification of bacterial isolates.

    Main Results:

    • Bacterial growth was observed in 37 out of 40 specimens (92.5%).
    • A total of 121 isolates were recovered, with a predominance of anaerobic organisms (97 isolates).
    • Anaerobic bacteria, including Bacteroides, anaerobic Gram-positive cocci, and Fusobacterium, were prevalent in most positive cultures.

    Conclusions:

    • Anaerobic bacteria are major contributors to the polymicrobial etiology of chronic sinusitis in children.
    • Findings underscore the importance of considering anaerobic coverage in the treatment of pediatric chronic sinusitis.

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