Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto SP.
Braz J Otorhinolaryngol. 2010 Sep-Oct;76(5):548-51. doi: 10.1590/S1808-86942010000500002.
There isn't definitive and consistent data concerning the distribution of bacterial species in patients with Chronic Sinusitis (CS). The variability of the results from studies in CS may be due to the different techniques used as collection method, variations in culture methods, previous antibiotic use, and difficulty in distinguishing bacterial flora from pathogenic agents.
Clinical prospective.
To identify the incidence of microorganisms in patients with CRS by growing bacteria from the secretion of the maxillary sinus.
Cross-sectional study in 62 patients that had undergone FESS for treatment of chronic sinusitis; cultures from the maxillary sinus were obtained.
62 samples, 33 (53.2%) had no growth; 29 (45.2%) counts of aerobic bacteria; one case (1.6%) of fungus growth; we did not find anaerobic bacteria. Pseudomonas aeruginosa was the one more frequently found - 8 samples (27.6%), Staphylococcus aureus and Staphylococcus epidermidis in 4 samples each; Streptococcus pneumoniae in 3 samples (10.4%); other Gram negative agents in 17 samples (31%).
In the present study we concluded that Pseudomonas aeruginosa, other Gram negatives bacteria and Staphylococcus spp were the representatives of the bacterial flora found in the paranasal sinuses of patients with CS.
关于慢性鼻窦炎(CS)患者的细菌种类分布,尚无明确和一致的数据。CS 研究结果的变异性可能是由于采集方法、培养方法的变化、先前使用抗生素以及难以区分细菌菌群与病原体等不同技术所致。
临床前瞻性。
通过从上颌窦分泌物中培养细菌来确定 CRS 患者的微生物发生率。
对 62 例因慢性鼻窦炎而行 FESS 治疗的患者进行横断面研究;从上颌窦中获取培养物。
62 个样本中,33 个(53.2%)无生长;29 个(45.2%)有氧细菌计数;1 例(1.6%)真菌生长;未发现厌氧菌。铜绿假单胞菌是最常发现的一种 - 8 个样本(27.6%),金黄色葡萄球菌和表皮葡萄球菌各 4 个样本;肺炎链球菌 3 个样本(10.4%);其他革兰氏阴性菌 17 个样本(31%)。
在本研究中,我们得出结论,铜绿假单胞菌、其他革兰氏阴性菌和葡萄球菌属是 CS 患者鼻窦细菌菌群的代表。