Liu E S, Lebowitz R A, Jacobs J B, Tierno P M
Department of Otolaryngology, New York University School of Medicine, New York, USA.
Am J Rhinol. 2000 Mar-Apr;14(2):101-5. doi: 10.2500/105065800781692895.
The bacteriology of chronic rhinosinusitis is an area of great interest among rhinologists. Numerous studies have reported culture results implicating a variety of aerobic and anaerobic organisms in the etiology of this disease process. Sampling is generally accomplished through the nasal cavity, creating the potential for contamination with resident nasal flora. In some reports, strict anaerobic techniques have not been used, possibly accounting for the failure to recover these fastidious organisms. In an attempt to clarify the microbiology of chronic rhinosinusitis, we used a novel culture and transport system in 50 patients undergoing endoscopic sinus surgery. The Accu-CulShure (MLA Systems, Pleasantville, NY, USA) is a self-contained polyethylene culture swab and transport device, capable of collecting a representative sample from the sinus without contamination, and preserving the quality of the material during transport. Our aerobic and anaerobic culture results, as well as pertinent patient data, are presented. The Accu-CulShure device may permit standardization of culture techniques for future studies, and allow for more accurate determination of the microbiology of chronic rhinosinusitis.
慢性鼻-鼻窦炎的细菌学是鼻科医生极为感兴趣的领域。众多研究报告了培养结果，提示多种需氧菌和厌氧菌与该疾病过程的病因有关。采样通常通过鼻腔完成，这就有可能被鼻腔常驻菌群污染。在一些报告中，未采用严格的厌氧技术，这可能是未能培养出这些苛求菌的原因。为了阐明慢性鼻-鼻窦炎的微生物学情况，我们对50例接受鼻内镜鼻窦手术的患者使用了一种新型培养和转运系统。Accu-CulShure（美国纽约州普莱森维尔的MLA系统公司）是一种独立的聚乙烯培养拭子和转运装置，能够从鼻窦采集具有代表性的样本而不被污染，并在转运过程中保持样本质量。我们展示了需氧菌和厌氧菌培养结果以及相关的患者数据。Accu-CulShure装置可能会使未来研究的培养技术标准化，并能更准确地确定慢性鼻-鼻窦炎的微生物学情况。
