Bacteriologic features of chronic sinusitis in children
I. Brook
Aspiration of chronically inflamed sinuses was aseptically performed in 40
children. The median age was 11 years (range, 6 to 16 years). The sinuses
were the maxillary (15 cases), ethmoid (13), and frontal (seven).
Pansinusitis was present in five patients. All aspirates were cultured for
aerobes and anaerobes and yielded bacterial growth in 37 patients. A total
of 121 isolates (97 anaerobic and 24 aerobic) were recovered, accounting
for 2.7 anaerobes and 0.6 aerobes per specimen. Anaerobic organisms were
recovered from all 37 culture-positive specimens, and in 14 cases (38%)
they were mixed with aerobic organisms. The predominant anaerobic organisms
were Bacteroides species (36), anaerobic Gram-positive cocci (28), and
Fusobacterium species (13). The predominant aerobic isolates were
alpha-hemolytic streptococci (seven), Staphylococcus aureus (seven), and
Haemophilus species (four). These findings indicate the major role of
anaerobic organisms in the polymicrobial cause of long-term sinusitis in
children.
Bacteriology of chronic sinusitis and acute exacerbation of chronic sinusitis.
Brook
Arch Otolaryngol Head Neck Surg 2006;132:1099-1101.
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Discrepancies in the recovery of bacteria from multiple sinuses in acute and chronic sinusitis
Brook
J Med Microbiol 2004;53:879-885.
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Bacteriology of Acute and Chronic Frontal Sinusitis
Brook
Arch Otolaryngol Head Neck Surg 2002;128:583-585.
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Efficacy of a Stepwise Protocol That Includes Intravenous Antibiotic Therapy for the Management of Chronic Sinusitis in Children and Adolescents
Don et al.
Arch Otolaryngol Head Neck Surg 2001;127:1093-1098.
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Management of Rhinosinusitis in Children: Consensus Meeting, Brussels, Belgium, September 13, 1996
Clement et al.
Arch Otolaryngol Head Neck Surg 1998;124:31-34.
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Microbiology of Nosocomial Sinusitis in Mechanically Ventilated Children
Brook
Arch Otolaryngol Head Neck Surg 1998;124:35-38.
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Topical Review: Brain Abscess in Children: Microbiology and Management
Brook
J Child Neurol 1995;10:283-288.
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