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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1994;37(1): 58-64. |
Bacteriologic Study of Maxillary Sinusitis |
Wan Suk Jun, MD, Chul Min Park, MD, Jong Wook Yun, MD, Young Sam Yoo, MD, Jae Sun Lim MD, and Heung Sik Kim, MD |
Department of Otolaryngology and Head & Neck Surgery, Seoul Red Cross Hospital, Seoul, Korea |
만성상악동염의 세균학적 고찰 |
전완석 · 박철민 · 윤종욱 · 유영삼 · 임재선 · 김흥식 |
서울적십자병원 이비인후과 |
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ABSTRACT |
Chronic paranasal sinusitis is one of the most common diseases in the otolaryngological field. Among many therapeutic modalities, antibiotic therapy is the most important part. In selecting antibiotics, there must be cultures and isolation of the etiologic microorganism, and the tests identifying the sensitivity and the resistance to the various kind of antibiotics. The authors cultured secretion of sinuses from 44 patients, isolated the microorganisms and examined the susceptibility to antibiotics. The results were as follows : 1) Among 44 patients, microorganisms were isolated in 14 patients(32%). 2) Six of the isolates of bacteria were coagulase positive staphylococcus(40%), 4 were coagulase negative staphylococcus(27%), and 3 were α-hemolytic streptococcus(20%). 3) In purulent sinus secretion, the positive culture rate was 46%(11 of 24 cases), but 15%(3 of 20 cases) in mucoid secretion. 4) In patients not receiving antibiotic therapy, there was isolation of strains in 12 of 29 cases(43%), and in those of receiving antibiotic therapy, 4 of 15 cases(27%). 5) In 7 cases the chronic maxillary sinusitis was associated with hypertrophy of tonsils and adenoid, and the sinus secretion was mucoid and sterile in all the cases. 6) The isolated strains were susceptible to cefoperazone, cefoxitin and carbenicillin, but resistant to kanamycin, gentamicin, and pencillin.
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Keywords:
Chronic paranasal sinusitisㆍCultureㆍAntibiotics. |
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