Journal Article

Bacteriologic Findings Associated with Chronic Bacterial Maxillary Sinusitis in Adults

S. M Finegold, M. J Flynn, F. V Rose, H Jousimies-Somer, C Jakielaszek, M McTeague, H. M Wexler, E Berkowitz and B Wynne

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 35, issue 4, pages 428-433
Published in print August 2002 | ISSN: 1058-4838
Published online August 2002 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/341899
Bacteriologic Findings Associated with Chronic Bacterial Maxillary Sinusitis in Adults

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An open-label, multicenter study was performed to assess bacteriologic findings associated with chronic bacterial maxillary sinusitis in adults. Seventy aerobic (52.2%) and 64 anaerobic (47.8%) pathogens were recovered from clinically evaluable patients at baseline (before therapy). The most commonly isolated anaerobes were Prevotella species (31.1%), anaerobic streptococci (21.9%), and Fusobacterium species (15.6%). The aerobes most frequently recovered included Streptococcus species (21.4%), Haemophilus influenzae (15.7%), Pseudomonas aeruginosa (15.7%), and Staphylococcus aureus and Moraxella catarrhalis (10.0% each). Recurrences of signs or symptoms of bacterial maxillary sinusitis associated with anaerobes were twice as frequent as were those associated with aerobes when counts of anaerobes were ⩾103 cfu/mL. A pathogenic role for Granulicatella species in cases of chronic sinusitis was documented for the first time

Journal Article.  2452 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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