Antila J, Suonpää J, Lehtonen O P
Department of Otorhinolaryngology, Turku University Central Hospital, Finland.
Acta Otolaryngol Suppl. 1997;529:162-4. doi: 10.3109/00016489709124111.
In a prospective study bacteriological findings from frontal and maxillary sinus secretes were analyzed. Frontal sinus trephination was performed to 103 and maxillary irrigation to 192 patients. Main pathogens in the frontal as well as in the maxillary sinus secretes were Haemophilus influenzae and Streptococcus pneumoniae. beta-lactamase production of H. influenzae was found in 17% of frontal and in 16% of maxillary sinus samples. Bacteriological findings were supported by the staining results. The portion of anaerobic pathogens in cultures were poor, though Bacteroides fragilis antigen was detected in 8 frontal and 6 maxillary sinus samples. The acute frontal sinusitis should be treated with respective antibiotics. Complications seem not to develop in the acute phase and the disease can primarily be treated conservatively. It should however be controlled properly to avoid prolonged disease and late complications.
在一项前瞻性研究中，对额窦和上颌窦分泌物的细菌学检查结果进行了分析。对103例患者进行了额窦环钻术，对192例患者进行了上颌窦冲洗。额窦和上颌窦分泌物中的主要病原体为流感嗜血杆菌和肺炎链球菌。在17%的额窦样本和16%的上颌窦样本中发现流感嗜血杆菌产生β-内酰胺酶。细菌学检查结果得到了染色结果的支持。培养物中厌氧菌病原体的比例较低，不过在8份额窦样本和6份上颌窦样本中检测到脆弱拟杆菌抗原。急性额窦炎应使用相应的抗生素进行治疗。急性期似乎不会发生并发症，该病主要可采用保守治疗。然而，应进行适当控制，以避免病程延长和出现晚期并发症。
