doi:
|
|
- John Oliver
- 5 years ago
- Views:
Transcription
1 Nig. J. Pure &Appl. Sci. Vol. 30 (Issue 1, 2017) ISSN (C) 2017 Faculty of Physical Sciences and Faculty of Life Sciences, Univ. of Ilorin, Nigeria doi: Page 2965 Aerobic bacteriology of throat swabs in adult patients with chronic rhinosinusitis in Lokoja, Kogi state, Nigeria S.A. Ogah, 1 * J.I. Ogah, 2 I.E. Enesi, 3 D.I. Oseji 3 1 Consultant Oto-rhino-laryngologist, Head and Neck Surgeon, Otolaryngology Division, Department of Surgery, Federal Medical Centre, P.M.B. 1001, Lokoja, Nigeria. 2 Infectious Diseases and Environmental Health Research Group, Department of Microbiology, Faculty of Life Sciences, University of Ilorin, Kwara State, Nigeria. 3 Department of Ophthalmology, Federal Medical Centre, P.M.B. 1001, Lokoja, Nigeria. Abstract Allergy, pollutants, infections, anatomical variation, and immunological factors are involved in chronic rhinosinusitis. As the bacterial flora kept changing and with frequent antibiotic resistance to the commonly used drugs, there is need for a bacteriological study to identify the causative pathogens and their antibiotic susceptibility for cost effective management of the disease. Eighty six patients with chronic rhinosinusitis and 25 well adults (control) had swab taken from their posterior nasal mucosa with the aid of a head light and angle metallic tongue depressor. Blood and MacConkey s agar plates were used for overnight incubation at 37 C. Bacterial growth identified using colonial morphology, Gram stain results and key biochemical reactions. Kirby-Bauer s method was used for the antimicrobial susceptibility testing for all isolates. Results showed that patients were 41males and 45female, male to female ratio was 1:1.2, mean age was 25.34±12SD years and the modal age group was 31-40years (25.6%).Of the 86 patients, 44(51.2%) were culture positive for aerobic bacteria, 2(2.3%) fungi and 40(46.5%) had no growth. Controls were 12males and 13females with a male to female ratio of 1:1.1. Eleven (44%) of the control had no growth and 14(56%) had Staphylococcus aureus only. The predominant bacterial isolate from patients was Pseudomonas aeruginosa 12(14.0%) followed by S. aureus (11.6%) and Imipenem had the highest drug susceptibility followed by ciprofloxacin. Keywords: aerobic, bacteriology, chronic, rhinosinusitis, susceptibility. Introduction Rhinosinusitis is an inflammatory condition of the nose and sinus mucosae characterized by major and minor signs/symptoms (Benninger et al., 2008). Major signs/symptoms include facial pain, facial congestion, nasal obstruction, nasal discharge, hyposmia and fever. The minor ones include headaches, dental pain, ear pain, ear fullness, fever, halitosis, fatigue, and cough. Having two major symptoms/signs or one major and two minor symptoms/signs is enough to make the diagnosis (Hamilos et al., 2011). Corresponding Author: S.A. Ogah, Department of Surgery, Federal Medical Centre P.M.B. 1001, Lokoja, Kogi State, Nigeria. stephenogah@yahoo.commobile:
2 Page 2966 The paranasal sinuses are a common site of infection in human beings with frequent morbidity and rare mortality (Aanan et al., 2005). Infections in them almost always spread into the nasal cavity hence the use of the encompassing word rhinosinusitis. Based on the disease duration, it is classified into acute (1-4 weeks), sub-acute (4-12 weeks), chronic (greater than 12 weeks) and recurrent (4 or more episodes per year) by the Rhinosinusitis Task Force of the American Academy of Otolaryngology (Report of the Rhinosinusitis Task Force Committee Meeting. Alexandria, Virginia, August 17, 1996). Common predisposing factors include acute upper respiratory tract viral infections, allergic conditions, anatomical variation of the nasal structures, obstruction of the sinus drainage and defect in the mucocilliary function (van Cauwenberge et al., 2006). By reason of frequent failure in antibiotic treatment, acute exacerbations and recurrences, the disease usually requires many courses of antibiotics with occasional surgical procedures. Cost effective management of rhinosinusitis therefore will depend on the knowledge of causative microorganisms and their antimicrobial sensitivity test (Ogah and Ogah, 2016). Several hypotheses are now available to help explain the pathophysiology of chronic rhinosinusitis but none of them is sufficient enough to explain the cascades of event that are noticed in the disease course (Mantovani et al., 2010). Suggested four sites of effective sample collection in chronic rhinosinusitis include (1) from the sinus itself (via sinus puncture), (2) from the sinus ostium at the middle meatus with the aid of an endoscope, (3) from the posterior nasal mucosa and (4) from the anterior nasal mucosa based on the available facilities. A major drawback of all the collecting sites is frequent sample contamination if adequate sterility measures are not put in place during the procedure. Varalakshmi et al. (2016) had also shown that collected samples from the middle meatus using an endoscopic technique is as good as that collected from the sinus with a puncture. Rhinosinusitis is an inflammatory condition of the nose and paranasal sinus mucosae. Materials and Methods This is a hospital based prospective study carried out in the ENT clinic of the Federal Medical Center Lokoja between January 2014 and December One hundred and eleven subjects were recruited for the study by convenience sampling method. They consist of 86 adult patients with a clinical diagnosis of chronic rhinosinusitis and 25 well adults to serve as control. The patients were 41males and 45females, and the control were 12males and 13 females with age ranging from years. With aseptic condition strictly followed, all subjects had a throat swab taken from their posterior nasal mucosa with the aid of a good head light and an angle metallic tongue depressor. Blood and MacConkey s agar plates were used for overnight incubation at 37 C. Bacterial growth identified using colonial morphology, Gram stain results and key biochemical reactions. Kirby-Bauer s method was used for the antimicrobial susceptibility testing for all isolates. Results The total number of patients were 86, consisting of 41 males and 45 females and male to female ratio was 1:1.2. Mean group
3 Page 2967 age of 25.34years and the modal age group was years (25.6%) as shown in Table 1. Out of the 86 samples, 44(51.2%) were culture positive for bacteria, 40(46.5%) samples had no growth in them and 2 (2.3%) samples had fungi as shown in Figure1 and Anaerobes where not cultured due to lack of the facility. The predominant bacterial isolate was Pseudomonas aeruginosa (14.0%) followed by Staphylococcus aureus (11.6%), E. coli (9.3%), S. epidermidis (9.3%) and Klebsiella spp (4.6%) as shown in Table2. Imipenem (93.2%) had the highest susceptibility followed by ciprofloxacin (90.9%) as shown in Table3. For the control group, the male to female ratio was 1:1.1, 11(44%) samples had no growth and 14(56%) had S. aureus only. Table1: Age and Gender distribution of patients with chronic rhinosinusitis Age group Number of Males (%) Number of Females (%) Total (%) (9.3) 6(7.0) 14(16.3) (11.6) 12(14.0) 22(25.6) (7.0) 9(10.4) 15(17.4) (10.4) 6(7.0) 15(17.4) (4.7) 7(8.1) 11(12.8) (4.7) 5(5.8) 9(10.5) Total 41(47.7) 45(52.3) 86(100.0) Male/female ratio=1:1.1 and group mean=25.34years Bacteria No Growth Fungi 2 Figure1: Culture Results of adult patients with chronic Rhinosinusitis in Lokoja, Nigeria.
4 Page 2968 Table2: Aerobic bacteria found in adult patients with chronic rhinosinusitis in Lokoja, Nigeria. Bacteria isolate Number of Patients (%) Pseudomonas aeruginosa 12(14.0%) Staphylococcus aereus 10(11.6%) Escherichia coli 8(9.3%) Staph. epidermidis 8(9.3%) Klebsiella 6(7.0%) Total 44(51.2%) Table3: Drug sensitivity pattern in patients with chronic rhinosinusitis in Lokoja, Nigeria. Tested Isolate N Drugs in microgram/disc AMP(10) AUG(30) CRO(30) OB(5) CN(10) IPM(10) CIP(5) OFX(5) P. aeruginosa 12 0(0.0) 8(18.2) 7(15.9) 6(13.6) 10(22.7) 11(25.0) 10(22.7) 8(18.2) S. aereus 10 5(11.4) 6(13.6) 5(11.4) 4(9.1) 8(18.2) 9(20.5) 10(22.7) 8(18.2) E. coli 8 3(6.8) 5(11.4) 5(11.4) 3(6.8) 7(15.9) 8(18.2) 7(15.9) 6(13.6) S. epidermidis 8 2(4.6) 4(9.1) 3(6.8) 4(9.1) 6(13.6) 7(15.9) 8(18.2) 5(11.4) Klebsiella spp 6 2(4.6) 4(9.1) 4(9.1) 3(6.8) 6(13.6) 6(13.6) 5(11.4) 4(9.1) Total 44 12(27.4) 27(61.4) 24(54.6) 20(45.4) 37(84.0) 41(93.2) 40(90.9) 31(70.5) N=Number of isolate tested, AUG = amoxicillin clavulanate; CIP = ciprofloxacin; OFX = ofloxacin. CRO = ceftriaxone; OB = cloxcillin; CN=gentamicin; AMX = amoxicillin; IPM = Imipenem. Figures in parenthesis are in percentages Discussion In our study chronic rhinosinusitis was found commonest in the (25.6%) age group and this is different from another study in which it was more in the younger age group of 21-30years (Incorvaia et al., 2010). A little more than half (51.2%) of our patients had aerobic bacteria being the aetiologic agents of their diseases. This study appears to be in support of an earlier study that showed chronic rhinosinusitis is a disease caused essentially by aerobic bacteria and a few facultative anaerobes (Araujo et al., 2003). It is therefore not out of place to do an aerobic bacterial study to aid the treatment of our patients especially when facilities for identifying anaerobic organisms were not available as noticed in our study. A large proportion of our patients had negative culture results which may probably be due to their previous antibiotic usage or that the culture period was not long enough to allow the growth of some pathogenic organisms. The two fungi cultured in this study may either be due to some contamination of the samples or that the involved patients have depressed immunity that should be further investigated. The commonest aerobic bacterium found in this study was pseudomonas aeruginosa which is a gram negative organism, followed by S. aureus
5 Page 2969 and S. pneumonia. This is similar to some studies in the past that found more of Gram Negatives in chronic rhinosinusitis in adults (Tantilipikorn et al., 2002; Rombaux et al., 2002). It may be necessary to say that Gram negatives organisms are increasingly gaining ground in this disease entity and that effort should be made to always identify them during treatment. Half of our well subjects also had S. aureus cultured and this raises the question whether S. aureus should be regarded as a pathogen in chronic rhinosinusitis. Ciprofloxacin should be consider in patients with chronic rhinosinusitis who cannot afford the high cost of imipenem which is the drug of choice in this study. Conclusion The isolation, identification and antimicrobial agent susceptibility/resistance pattern of the aetiologic microbiological agents in chronic adult rhinosinusitis will assist the attending Physician in cost effective management of the patient with this chronic debilitating disease. References Aanan, J.B. (2005). Current management of acute bacterial rhinosinusitis and the role of moxifloxacin. Clinical Infectious Diseases. 41:167-S176. Araujo, E., Bruno, P.C., Vladimir, C., Alexander, P., Mariante, Afonso, M. (2003). Microbiology of Middle Meatus in Chronic Rhinosinusitis. American Journal of Rhinology, 17(1):9-15 Benninger, M.S. (2008). Rhinosinusitis in Scott-Brown s Otolaryngology & Head- Neck Surgery; 7 th edition; Hodder Arnold 13: Bezerra, T.F.P., Padna, F.G., Gebrim, E.M.M.S., Saldiva, P.H.N. and Voegels, R.L.(2009) Biofilms in chronic rhinosinusitis with nasal polyps. Braz. J. Otolaryngology, 75(6): Hamilos, D.L. (2011). Chronic rhinosinusitis: Epidemiology and medical management. Journal of Allergy & Clinical Immunology, 128: Incorvaia, C. and Leo, G. (2010) Treatment of rhinosinusitis: other medical options. International Journal of Immunopathology and Pharmacology, 23 (1):70-3 Kilty, S.J. and Desrosiers, M.Y. (2008). The role of bacterial biofilms and the pathophysiology of chronic rhinosinusitis. Current Opinion in Allergy and Asthma Rep, 8: Mantovani, K., Bisanha, A.A., Demarco, R.C., Tamashiro, E., Martinez, R., Anselmo-Lima, W.T. (2010). Maxillary sinuses microbiology from patients with chronic rhinosinusitis. Brazilian. Journal of otorhinolaryngology, 76(5): Ogah, S.A. and Ogah, J.I. (2016). Aerobic Bacteriology of Chronic Suppurative Otitis Media (CSOM) in Federal Medical Centre Lokoja, Nigeria. Nigerian Journal of Pure & Applied Sciences, 29: Report of the Rhinosinusitis Task Force Committee Meeting. Alexandria, Virginia, August 17, Otolaryngology, Head and Neck Surgery. 117(3):1-68 Rombaux, P., Gigi, J., Hamoir, M., Eloy, P. and Bertrand, B. (2002). Bacteriology of chronic sinusitis: the bulaethmoidalis content. Rhinology, 40(1): Tantilipikorn, P., Fritz, M., Tanabodee, J., Lanza, D.C. and Kennedy, D.W. (2002). A comparison of endoscopic culture
6 Page 2970 technique for chronic rhinosinusitis. American Journal of Rhinology, 16(5): Van Cauwenberge, P., van Hoecke, H. and Bachert C. (2006). Pathogenesis of chronic rhinosinusitis. Current opinion in Allergy and Asthma Rep. 6: Varalakshmi, Y.U. and Sarada, D. (2016). Microbiological Study of Paranasal Sinusitis. International Journal of Current Microbiology and Applied Science, 5(2):
9/18/2018. Disclosures. Objectives
Is It Really Acute Bacterial Rhinosinusitis? Assessment, Differential Diagnosis and Management of Common Sinonasal Symptoms Kristina Haralambides, MS, RN, FNP-C Disclosures The content of this presentation
More informationStudy of etiological factors and sensitivity pattern in CSOM
Indian Journal of Basic and Applied Medical Research; December 2015: Vol.-5, Issue- 1, P. 766-770 766-771 Original article: Study of etiological factors and sensitivity pattern in CSOM Paresh Chavan, G
More informationRetrospective Analysis of Patients with Allergy Sinusitis
Original article: Retrospective Analysis of Patients with Allergy Sinusitis G.S. Thalor Senior Specialist (MS) (department of Oto Rhino Laryngology), Govt. S.K. Hospital, Sikar, Rajasthan, India. Corresponding
More informationORIGINAL ARTICLE. Comparing different methods used to collect material for a microbiological evaluation of patients with chronic rhinosinusitis
Braz J Otorhinolaryngol. 2010;76(3):321-5. ORIGINAL ARTICLE BJORL Comparing different methods used to collect material for a microbiological evaluation of patients with chronic rhinosinusitis Karina Mantovani
More informationMANAGEMENT OF RHINOSINUSITIS IN ADULTS IN PRIMARY CARE
PROFESSOR DR SALINA HUSAIN DEPUTY HEAD DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD NECK SURGERY UKM MEDICAL CENTRE MANAGEMENT OF RHINOSINUSITIS IN ADULTS IN PRIMARY CARE CLINICAL PRACTICE GUIDELINES ON MANAGEMENT
More informationSINUSITIS. HAVAS ENT CLINICS Excellence in otolaryngology
JULY 2015 SINUSITIS WHAT IS IT? WHAT SHOULD YOU DO? WHAT WORKS? THOMAS E HAVAS MBBS (SYD) MD (UNSW) FRCSE, FRACS, FACS CONJOINT ASSOCIATE PROFESSOR UNSW OTOLARNGOLOGY HEAD AND NECK SURGERY HAVAS ENT CLINICS
More informationCHRONIC RHINOSINUSITIS IN ADULTS
CHRONIC RHINOSINUSITIS IN ADULTS SCOPE OF THE PRACTICE GUIDELINE This clinical practice guideline is for use by the Philippine Society of Otolaryngology-Head and Neck Surgery. It covers the diagnosis and
More informationBacteriological Profile of Chronic Rhino Sinusitis
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 7 Number 07 (2018) Journal homepage: http://www.ijcmas.com Original Research Article https://doi.org/10.20546/ijcmas.2018.707.121
More informationChronic Sinusitis. Acute Sinusitis. Sinusitis. Anatomy of the Paranasal Sinuses. Sinusitis. Medical Topics - Sinusitis
1 Acute Chronic is the inflammation of the inner lining of the parnasal sinuses due to infection or non-infectious causes such as allergies or environmental pullutants. If the inflammation lasts more than
More informationDIFFICULT-TO-TREAT CHRONIC
MANAGEMENT STRATEGIES FOR DIFFICULT-TO-TREAT CHRONIC RHINOSINUSITIS DR ZULKEFLI HUSSEIN CONSULTANT EAR NOSE & THROAT SURGEON PANTAI HOSPITAL PENANG DISCLAIMER Nothing to disclose PENANG ISLAND, MALAYSIA
More informationUpper Respiratory Tract Infections / 42
Upper Respiratory Tract Infections 1 Upper Respiratory Tract Infections Acute tonsillitispharyngitis Acute otitis media Acute sinusitis Common cold Acute laryngitis Otitis externa Mastoiditis Acute apiglottis
More informationDose-dependent effects of tobramycin in an animal model of Pseudomonas sinusitis Am J Rhino Jul-Aug; 21(4):423-7
AMINOGLYCOSIDES Dose-dependent effects of tobramycin in an animal model of Pseudomonas sinusitis Am J Rhino. 2007 Jul-Aug; 21(4):423-7 http://www.ncbi.nlm.nih.gov/pubmed/17882910 Evaluation of the in-vivo
More informationDiscrepancies in the recovery of bacteria from multiple sinuses in acute and chronic sinusitis
Journal of Medical Microbiology (2004), 53, 879 885 DOI 10.1099/jmm.0.45655-0 Short Communication Correspondence Itzhak Brook ib6@georgetown.edu Received 1 March 2004 Accepted 18 May 2004 Discrepancies
More informationEvaluation of the Change in Recent Diagnostic Criteria of Chronic Rhinosinusitis: A Cross-sectional Study
Abhishek Ramadhin REVIEW ARTICLE 10.5005/jp-journals-10013-1246 Evaluation of the Change in Recent Diagnostic Criteria of Chronic Rhinosinusitis: A Cross-sectional Study Abhishek Ramadhin ABSTRACT There
More informationRhinosinusitis. John Ramey, MD Joseph Russell, MD
Rhinosinusitis John Ramey, MD Joseph Russell, MD Disclosure Statement RSFH as a continuing medical education provider, accredited by the South Carolina Medical Association, it is the policy of RSFH to
More informationURINARY TRACT INFECTIONS 3 rd Y Med Students. Prof. Dr. Asem Shehabi Faculty of Medicine, University of Jordan
URINARY TRACT INFECTIONS 3 rd Y Med Students Prof. Dr. Asem Shehabi Faculty of Medicine, University of Jordan Urinary Tract Infections-1 Normal urine is sterile.. It contains fluids, salts, and waste products,
More informationIncidence of accessory ostia in patients with chronic maxillary sinusitis
International Journal of Otorhinolaryngology and Head and Neck Surgery Ghosh P et al. Int J Otorhinolaryngol Head Neck Surg. 2018 Mar;4(2):443-447 http://www.ijorl.com pissn 2454-5929 eissn 2454-5937 Original
More informationStudy of Nasal Mucosal Flora in Acute and Chronic Sinusitis
Study of Nasal Mucosal Flora in Acute and Chronic Sinusitis Rupeshkumar TS 1, Rajesh K 2, Prabhusaran N 3*, Jesudoss A 4 Original Research Article 1MBBS Student, 2Associate Professor, 4 Professor & Head,
More informationPOLICY FOR TREATMENT OF UPPER RESPIRATORY TRACT INFECTIONS
POLICY F TREATMENT OF UPPER RESPIRATY TRACT INFECTIONS Written by: Dr M Milupi, Consultant Microbiologist Date: July 2013 Approved by: The Drugs & Therapeutics Committee Date: April 2016 Implementation
More informationMiddleton Chapter 43 (pages ) Rhinosinusitis and Nasal Polyps Prepared by: Malika Gupta, MD
FIT Board Review Corner December 2017 Welcome to the FIT Board Review Corner, prepared by Amar Dixit, MD, and Christin L. Deal, MD, senior and junior representatives of ACAAI's Fellows-In- Training (FITs)
More informationUpper Respiratory Tract Infections
Upper Respiratory Tract Infections OTITIS MEDIA Otitis media is an inflammation of the middle ear. There are more than 709 million cases of otitis media worldwide each year; half of these cases occur in
More informationCongestion, headache, recurrent infection, post-nasal drip, smell problems? We can find the source and offer solutions for relief.
Sinus Sinus Congestion, headache, recurrent infection, post-nasal drip, smell problems? We can find the source and offer solutions for relief. So what is sinusitis? Although many individuals interpret
More informationUPPER RESPIRATORY TRACT INFECTIONS. IAP UG Teaching slides
UPPER RESPIRATORY TRACT INFECTIONS 1 INTRODUCTION Most common problem in children below 5 years. In this age group they get about 6 8 episodes per year. It includes infections of nasal cavity, throat,
More information320 MBIO Microbial Diagnosis. Aljawharah F. Alabbad Noorah A. Alkubaisi 2017
320 MBIO Microbial Diagnosis Aljawharah F. Alabbad Noorah A. Alkubaisi 2017 Pathogens of the Urinary tract The urinary system is composed of organs that regulate the chemical composition and volume of
More informationBacteriological Profile of Post Traumatic Osteomyelitis in a Tertiary Care Centre
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 6 Number 1 (2017) pp. 367-372 Journal homepage: http://www.ijcmas.com Original Research Article http://dx.doi.org/10.20546/ijcmas.2017.601.044
More informationNasolacrimal duct obstruction: the relationship with nasal allergy
Romanian Journal of Rhinology, Vol. 7, No. 27, July - September 2017 DOI: 10.1515/rjr-2017-0018 Original study Nasolacrimal duct obstruction: the relationship with nasal allergy Desiderio Passali 1, Leandro
More informationUNIVERSITY OF MEDICINE AND PHARMACY CRAIOVA
UNIVERSITY OF MEDICINE AND PHARMACY CRAIOVA THE INVLOLVEMENT OF INFECTIOUS DENTAL DISEASES INTO THE MAXILLARY SINUS INFLAMMATION SCIENTIFIC COORDINATOR: PROF. UNIV. DR. ELENA IONIŢĂ PhD: DR. MARINA OLIMPIA
More informationSinusitis & its complication. MOHAMMED ALESSA MBBS,FRCSC Assistant Professor,Consultant Otolaryngology, Head & Neck Surgery King Saud University
Sinusitis & its complication MOHAMMED ALESSA MBBS,FRCSC Assistant Professor,Consultant Otolaryngology, Head & Neck Surgery King Saud University Definition Types Clinical manifestation Complications Diagnosis
More informationAsian Journal of Pharmaceutical Analysis and Medicinal Chemistry Journal home page:
Research Article CODEN: AJPAD7 ISSN: 2321-0923 Asian Journal of Pharmaceutical Analysis and Medicinal Chemistry Journal home page: www.ajpamc.com FORMULATION AND EVALUATION OF HERBAL WASH FOR NASAL HEALTH
More informationTable S1. Data on IgG substitution for participants that were included in the per protocol analysis (n=62/arm).
Bergman et al, Vitamin D 3 supplementation in patients with frequent respiratory tract infections - a randomised, double blind intervention study Supplementary tables Table S1. Data on IgG substitution
More informationAn Open Multicenter Study of the Use of Gatifloxacin for the Treatment of Non- Complicated Acute Bacterial Rhinosinusitis in Adults
162 BJID 2005; 9 (April) An Open Multicenter Study of the Use of Gatifloxacin for the Treatment of Non- Complicated Acute Bacterial Rhinosinusitis in Adults Weckx L.L.M. 1, Campos C.A.H. 2, Sakano E. 3,
More information4/7/13 SINUSITIS WHO ARE WE TREATING? AMANDA SAM CONLEY RN, MSN, CFN, LNC, FNP- BC
SINUSITIS WHO ARE WE TREATING? AMANDA SAM CONLEY RN, MSN, CFN, LNC, FNP- BC 1 DefiniGons Anatomy Review Signs and Symptoms OBJECTIVES Acute Viral vrs. Acute Bacterial Treatment Guidelines ANATOMY REVIEW
More informationJMSCR Vol 04 Issue 12 Page December 2016
www.jmscr.igmpublication.org Impact Factor 5.244 Index Copernicus Value: 83.27 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v4i12.124 COPD: Microbial Pattern in Acute Exacerbation
More informationDr.Adel A. Al Ibraheem
Rhinology Chair Weekly Activity Dr.Adel A. Al Ibraheem www.rhinologychair.org conference@rhinologychair.org Rhinology Chair Introduction: It is important to classify and stage nasal polyposis. ( decide
More informationURINARY TRACT INFECTIONS 3 rd Y Med Students. Prof. Dr. Asem Shehabi Faculty of Medicine, University of Jordan
URINARY TRACT INFECTIONS 3 rd Y Med Students Prof. Dr. Asem Shehabi Faculty of Medicine, University of Jordan Urinary Tract Infections-1 Normal urine is sterile in urinary bladder.. It contains fluids,
More informationWhite Paper: Balloon Sinuplasty for Chronic Sinusitis, The Latest Recommendations
White Paper: Balloon Sinuplasty for Chronic Sinusitis, The Latest Recommendations For Health Plans, Medical Management Organizations and TPAs Executive Summary Despite recent advances in instrumentation
More informationFungal ball.. Clinical and radiological features DR. AHMED ALTUWAIJRI 1/5/2017
Fungal ball.. Clinical and radiological features DR. AHMED ALTUWAIJRI 1/5/2017 Fungal Rhinosinusitis (FRS) Rhinosinusitis, is a common disorder affecting approximately 20% of the population at some time
More informationChronic tonsillitis was largely a clinical concept. Recurrent Acute Tonsillitis - The Core Issue. Main Article
Main Article Recurrent Acute Tonsillitis - The Core Issue Saikat Samaddar, 1 Diptanshu Mukherjee, 1 Anita Nandi (Mitra), 2 Shyam Sundar Mandal, 3 Nirmalya Roy, 1 Shaoni Sanyal, 1 Swagatam Banerjee, 4 Saumendra
More informationSinusitis. 12 weeks. Subacute sinusitis: An inflammation lasting 4 to 8 weeks. weeks or longer Re urre t si usitis: Se eral atta ks ithi a year
Sinusitis 12 weeks. Sinusitis, also known as a sinus infection or rhinosinusitis, is inflammation of the sinuses resulting in symptoms. Common signs and symptoms include thick nasal mucous, a plugged nose,
More informationThe Nose and Sinuses. Ophir Ilan, MD, PhD Department of Otolaryngology/Head&Neck surgery Hadassah University Hospital
The Nose and Sinuses Ophir Ilan, MD, PhD Department of Otolaryngology/Head&Neck surgery Hadassah University Hospital Nasal Mucociliary System Function of the Nasal Mucosa warming and humidifying the
More informationJMSCR Vol 05 Issue 10 Page October 2017
www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 71.58 ISSN (e)-2347-176x ISSN (p) 2455-45 DOI: https://dx.doi.org/1.18535/jmscr/v5i1.116 Nasal Polyps- Causes and Associated Symptoms-
More information1. BRIEF DESCRIPTION OF TRAINING
RHINOLOGY 1. BRIEF DESCRIPTION OF TRAINING Exposure to clinical rhinology is provided in each of the four ORL years over the course of several rotations in a graduated approach. MEE General Otolaryngology
More informationMANAGEMENT OF RHINOSINUSITIS IN ADOLESCENTS AND ADULTS
MANAGEMENT OF RHINOSINUSITIS IN ADOLESCENTS AND ADULTS Ministry of Health Malaysia Malaysian Society of Otorhinolaryngologist - Head & Neck Surgeons (MS)-HNS) Academy of Medicine Malaysia KEY MESSAGES
More informationPrefe f rred d t e t rm: : rhi h no n s o inu n s u iti t s
HELP It s my sinuses! An overview of pharmacologic treatment of sinusitis Objectives Identify types of sinusitis and underlying pathology Examine common evidence based pharmacologic treatment for sinusitis
More informationLESSON 2.6 WORKBOOK Diagnosing infections, and, what s up your nose?
Staphylococcus aureus Morphology: The physical form or structure of a microbe.. LESSON 2.6 WORKBOOK Diagnosing infections, and, what s up your nose? Now we have discussed the different requirements that
More informationURINARY TRACT INFECTIONS IN DIABETIC PATIENTS ATTENDING OUTPATIENT DEPARTMENTS AT KASTURBA MEDICAL COLLEGE TEACHING HOSPITAL, MANIPAL, INDIA
WORLD JOURNAL OF PHARMACY AND PHARMACEUTICAL SCIENCES Gautam R. et al. Volume 2, Issue 3, 1141-1146. Research Article ISSN 2278 4357 URINARY TRACT INFECTIONS IN DIABETIC PATIENTS ATTENDING OUTPATIENT DEPARTMENTS
More informationSeptilin in Otolaryngology
(The Indian Practitioner, (984):, 045) Septilin in Otolaryngology N. Luley, Reader and Head of the Department of E.N.T. and V. Kalbande, Student, E.N.T. Department., Indira Gandhi Medical College, Nagpur.
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Medical technology guidance SCOPE The XprESS Multi-Sinus Dilation System for the treatment of 1 Technology 1.1 Description of the technology The XprESS
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 4,100 116,000 120M Open access books available International authors and editors Downloads Our
More informationMalik Sallam. Ola AL-juneidi. Ammar Ramadan. 0 P a g e
1 Malik Sallam Ola AL-juneidi Ammar Ramadan 0 P a g e Today's lecture will be about viral upper respiratory tract infections. Those include: common cold, sinusitis, otitis, etc. Infections in the upper
More informationRespiratory tract infections. Krzysztof Buczkowski
Respiratory tract infections Krzysztof Buczkowski Etiology Viruses Rhinoviruses Adenoviruses Coronaviruses Influenza and Parainfluenza Viruses Respiratory Syncitial Viruses Enteroviruses Etiology Bacteria
More informationChronic rhinosinusitis microbiology studies show the
Rev Bras Otorrinolaringol 2006;72(2):217-22 ORIGINAL ARTICLE Microbiology of the Maxillary and Ethmoid Sinuses in Patients with Chronic Rhinosinusitis Submitted to Functional Endoscopic Sinus Surgery Josiane
More information2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY
Measure #332: Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use) National Quality Strategy
More informationEar Nose and Throat ENT 316. Bachelor of Medicine and Surgery; MB, BCh. Fourth. (department council approval)
1* Ear Nose and Throat ENT 316 Basic Information Program Title Bachelor of Medicine and Surgery; MB, BCh Department Offering the Course Ear Nose and Throat Academic Year / Level Fourth Date of Specification
More informationAcute Otitis Media, Acute Bacterial Sinusitis, and Acute Bacterial Rhinosinusitis
Acute Otitis Media, Acute Bacterial Sinusitis, and Acute Bacterial Rhinosinusitis This guideline, developed by Larry Simmons, MD, in collaboration with the ANGELS team, on October 3, 2013, is a significantly
More informationRespiratory Infections
Respiratory Infections NISHANT PRASAD, MD THE DR. JAMES J. RAHAL, JR. DIVISION OF INFECTIOUS DISEASES NEWYORK-PRESBYTERIAN QUEENS Disclosures Stockholder: Contrafect Corp., Bristol-Myers Squibb Co Research
More informationPOLICY FOR TREATMENT OF UPPER RESPIRATORY TRACT INFECTIONS
POLICY F TREATMENT OF UPPER RESPIRATY TRACT INFECTIONS Written by: Dr M Milupi, Consultant Microbiologist Date: June 2018 Approved by: Date: July 2018 The Drugs & Therapeutics Committee Implementation
More informationTreatment Options for Chronic Sinusitis
Treatment Options for Chronic Sinusitis Jesse Ryan, M.D. Assistant Professor Head and Neck Surgery & Reconstruction Department of Otolaryngology January 17, 2019 Disclosures I have no financial relationship
More informationQuality of life after functional endoscopic sinus surgery in patients with chronic rhinosinusitis
Quality of life after functional endoscopic sinus surgery in patients with chronic rhinosinusitis Received: 26/6/2016 Accepted: 13/3/2017 Arsalan Awlla Mustafa Shem* Introduction Chronic Rhinosinusitis
More informationDiagnostic approach and microorganism resistance pattern in UTI Yeva Rosana, Anis Karuniawati, Yulia Rosa, Budiman Bela
Diagnostic approach and microorganism resistance pattern in UTI Yeva Rosana, Anis Karuniawati, Yulia Rosa, Budiman Bela Microbiology Department Medical Faculty, University of Indonesia Urinary Tract Infection
More informationThis is a repository copy of The microbial causes of complicated Acute Bacterial Rhinosinusitis and implications for empirical antimicrobial therapy.
This is a repository copy of The microbial causes of complicated Acute Bacterial Rhinosinusitis and implications for empirical antimicrobial therapy. White Rose Research Online URL for this paper: http://eprints.whiterose.ac.uk/92131/
More informationManagement of URTI s in Children
Management of URTI s in Children Robin J Green PhD Antibiotics - Dilemmas for General Practitioners Antibiotic overuse = Resistance Delay in antibiotic use = Mortality Patient expectation Employer expectation
More informationWill sulfamethoxazole treat sinus infection
Will sulfamethoxazole treat sinus infection Find information about which conditions Sulfamethoxazole- Trimethoprim by a Fungus; Bacterial Infection of Heart Valve; Sinus Irritation and Congestion. Bactrim
More information+ Conflict of interest. + Sinus and Nasal Anatomy. + What is your diagnosis? 1) Allergic Rhinitis. 2) Non-Allergic rhinitis. 3) Chronic Rhinosinusitis
Rhinitis & Sinusitis Conflict of interest I have no conflict of interest to declare for this lecture Al Chiodo, MD FRCSC Assistant Professor Director of Undergraduate Medical Education Department of Otolaryngology-Head
More informationPrevalence of Extended Spectrum -Lactamases In E.coli and Klebsiella spp. in a Tertiary Care Hospital
ISSN: 2319-7706 Volume 3 Number 10 (2014) pp. 474-478 http://www.ijcmas.com Original Research Article Prevalence of Extended Spectrum -Lactamases In E.coli and Klebsiella spp. in a Tertiary Care Hospital
More informationHigh dose amoxicillin for sinusitis
High dose amoxicillin for sinusitis Amoxil ( amoxicillin ) is a commonly used penicillin antibiotic. It is produced in tablets (500 mg 875 mg), capsules, chewable tablets and oral suspensions. 6-3-2018
More informationTUEC Guidelines Medical Information to Support the Decisions of TUE Committees Sinusitis/Rhinosinusitis SINUSITIS/RHINOSINUSITIS
1. Medical Condition SINUSITIS/RHINOSINUSITIS Sinusitis refers to inflammation of the sinuses only while the more clinically relevant term should be Rhinosinusitis which refers to inflammation of both
More informationUTI IN ELDERLY. Zeinab Naderpour
UTI IN ELDERLY Zeinab Naderpour Urinary tract infection (UTI) is the most frequent bacterial infection in elderly populations. While urinary infection in the elderly person is usually asymptomatic, symptomatic
More informationUrinary tract infection. Mohamed Ahmed Fouad Lecturer of pediatrics Jazan faculty of medicine
Urinary tract infection Mohamed Ahmed Fouad Lecturer of pediatrics Jazan faculty of medicine Objectives To differentiate between types of urinary tract infections To recognize the epidemiology of UTI in
More informationROLE OF ANATOMICAL OBSTRUCTION IN THE PATHOGENESIS OF CHRONIC SINUSITIS
From the SelectedWorks of Balasubramanian Thiagarajan July 1, 2012 ROLE OF ANATOMICAL OBSTRUCTION IN THE PATHOGENESIS OF CHRONIC SINUSITIS Balasubramanian Thiagarajan Available at: https://works.bepress.com/drtbalu/51/
More informationEuropean position paper on Rhinosinusitis & Nnasal Polyps 2012 (summary)
Rhinology Chair Weekly Activity European position paper on Rhinosinusitis & Nnasal Polyps 2012 (summary) Mohammed s. Al-Ahmari 12/02/2012 www.rhinologychair.org conference@rhinologychair.org Rhinology
More informationSINUSITIS/RHINOSINUSITIS
1. Medical Condition TUEC Guidelines SINUSITIS/RHINOSINUSITIS Sinusitis refers to inflammation of the sinuses only while the more clinically relevant term should be Rhinosinusitis which is the inflammation
More informationClinical Assessment with Bacteriological Evaluation of Patients with Retropharyngeal Abscess in a Tertiary Hospital in Thiruvananthapuram
Original Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2017/110 Clinical Assessment with Bacteriological Evaluation of Patients with Retropharyngeal Abscess in a Tertiary Hospital
More informationConcepts in Rhinosinusitis. Nick Jones University of Nottingham
Concepts in Rhinosinusitis Nick Jones University of Nottingham Definition of rhinosinusitis Very broad and is based on clinical symptoms, CT and endoscopy NOT on pathology Definition of rhinosinusitis
More informationPott s Puffy Tumor. Shahad Almohanna 15/1/2018
Pott s Puffy Tumor Shahad Almohanna R2 15/1/2018 Definition First described in 1760 by Sir Percival Pott. s he originally suggested that trauma of the frontal bone was causative for this lesion, but later,
More informationAcute bacterial rhinosinusitis: new aspects regarding bacterial spectrum and microbiologic diagnosis
Romanian Journal of Rhinology, Vol. 4, No. 14, April-June 2014 ORIGINAL STUDY Acute bacterial rhinosinusitis: new aspects regarding bacterial spectrum and microbiologic diagnosis Iulia Sabaru, Amalia Neagu
More informationCorrelation between culture-identified bacteria in the middle nasal meatus and CT score in patients with chronic rhinosinusitis
Journal of Medical Microbiology (2014), 63, 28 33 DOI 10.1099/jmm.0.068320-0 Correlation between culture-identified bacteria in the middle nasal meatus and CT score in patients with chronic rhinosinusitis
More informationthus, the correct terminology is now rhinosinusitis.
By: Ibrahim Alarifi Introduction Rhinitis and sinusitis usually coexist and are concurrent in most individuals; thus, the correct terminology is now rhinosinusitis. Mucosa of the nose is a continuation
More informationChronic Upper Respiratory Disease in Cats: Why is a Clinical Cure so Challenging?
Chronic Upper Respiratory Disease in Cats: Why is a Clinical Cure so Challenging? John R. August, BVetMed, MS, MRCVS, Dip ACVIM Dean of Faculties and Associate Provost Texas A&M University I. KEY FACTS
More informationMANAGEMENT of BACTERIAL RHINOSINUSITIS
MANAGEMENT of BACTERIAL RHINOSINUSITIS Jennifer Le, PharmD Assistant Professor of Pharmacy Practice, College of Pharmacy, Western University of Health Sciences Martin S. Lipsky, MD Dean and Professor of
More informationInternational Journal of Pharma and Bio Sciences OTITIS MEDIA: A PROSPECTIVE STUDY IN CENTRAL INDIA ABSTRACT
Research Article Medical Science International Journal of Pharma and Bio Sciences ISSN 0975-6299 OTITIS MEDIA: A PROSPECTIVE STUDY IN CENTRAL INDIA DR. TEKLAL PATEL 1 AND DR. HARI SHANKAR SHARMA 2 1 Associate
More informationINTRODUCTION TO UPPER RESPIRATORY TRACT DISEASES
Upper Respiratory Tract Infections Return to Syllabus INTRODUCTION TO UPPER RESPIRATORY TRACT DISEASES General Goal: To know the major mechanisms of defense in the URT, the major mechanisms invaders use
More informationClinical Practice Guideline: Tonsillectomy in Children, Baugh et al Otolaryngology Head and Neck Surgery, 2011 J and: 144 (1 supplement) S1 30.
Pediatric ENT Guidelines Jane Cooper, FNP, CORLN References: Clinical Practice Guideline: Tympanostomy tubes in children, Rosenfeld et al., American Academy of Otolaryngology Head and Neck Surgery Foundation
More informationHospital-acquired Pneumonia
Hospital-acquired Pneumonia Hospital-acquired pneumonia (HAP) Pneumonia that occurs at least 2 days after hospital admission. The second most common and the leading cause of death due to hospital-acquired
More informationRoleofAllergyinNasalPolyposis. Role of Allergy in Nasal Polyposis
Global Journal of Medical Research: J Dentistry & Otolaryngology Volume 17 Issue 1 Version 1.0 Type: Double Blind Peer Reviewed International Research Journal Publisher: Global Journals Inc. (USA) Online
More information2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process
Quality ID #331: Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) National Quality Strategy Domain: Efficiency and Cost Reduction 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY
More informationNational Imaging Associates, Inc. Clinical guidelines/considerations SINUS & MAXILLOFACIAL AREA CT 70486, 70487, 70488
National Imaging Associates, Inc. Clinical guidelines/considerations SINUS & MAXILLOFACIAL AREA CT 70486, 70487, 70488 Date: September 1997 Page 1 of 5 LIMITED OR LOCALIZED FOLLOW UP - SINUS CT 76380 Guideline
More informationRaising awareness of upper airway diseases: Overview of management and prevention strategies WANG De-yun *
Med J Chin PLA, Vol. 42, No. 10, October 1, 2017 843 ( ) 2017 10 11 (ARIA2001 2008) (GA2LEN) - (EP3OS 2007 2012) (2016) Allergy Therapeutics and Clinical Risk Management Military Medical Research 20-230
More informationOral Candida biofilm model and Candida Staph interactions
Oral Candida biofilm model and Candida Staph interactions Mark Shirtliff, PhD Associate Professor Department of Microbial Pathogenesis, School of Dentistry Department of Microbiology and Immunology, School
More informationORIGINAL ARTICLE. The Bacteriology of Chronic Rhinosinusitis With and Without Nasal Polyps
ORIGINAL ARTICLE The Bacteriology of Chronic Rhinosinusitis With and Without Nasal Polyps Andrea Niederfuhr; Hanspeter Kirsche, MD; Herbert Riechelmann, MD; Nele Wellinghausen, MD Objective: To compare
More informationRhinosinusitis is a common disorder affecting 35 million
Otolaryngology Head and Neck Surgery (2006) 134, 3-9 ORIGINAL RESEARCH Endoscopically Directed Middle Meatal Cultures Versus Maxillary Sinus Taps in Acute Bacterial Maxillary Rhinosinusitis: A Meta-Analysis
More informationLab 4. Blood Culture (Media) MIC AMAL-NORA-ALJAWHARA 1
Lab 4. Blood Culture (Media) 2018 320 MIC AMAL-NORA-ALJAWHARA 1 Blood Culture 2018 320 MIC AMAL-NORA-ALJAWHARA 2 What is a blood culture? A blood culture is a laboratory test in which blood is injected
More informationSkin reactivity to autologous bacteria isolated from respiratory tract of patients with obstructive pulmonary disease
Skin reactivity to autologous bacteria 149 Original Article Skin reactivity to autologous bacteria isolated from respiratory tract of patients with obstructive pulmonary disease J. Halasa 1, M. Halasa
More informationMicrobial profiling and risk factors assessment for Otitis Media and Otitis Externa
S H O R T COMMUNICATION INTERNATIONAL JOURNAL Advancements in Life Sciences Date Received: 13/06/2014; Date Revised: 21/07/2014; Date Published Online: 25/08/2014 Open Access Microbial profiling and risk
More informationInternational Journal of Pharma and Bio Sciences MALE GENITOURINARY TRACT INFECTIONS RELATIONSHIP WITH INFERTILITY: A BACTERIOLOGICAL STUDY.
Research Article Microbiology International Journal of Pharma and Bio Sciences ISSN 0975-6299 MALE GENITOURINARY TRACT INFECTIONS RELATIONSHIP WITH INFERTILITY: A BACTERIOLOGICAL STUDY. DR. RAHUL G. WADILE*
More informationSpheno-Ethmoidectomy
Diagnostic and Therapeutic Endoscopy, Vol. 5, pp. 1-8 Reprints available directly from the publisher Photocopying permitted by license only (C) 1998 OPA (Overseas Publishers Association) N.V. Published
More informationThe Bacteriology of Bronchiectasis in Australian Indigenous children
The Bacteriology of Bronchiectasis in Australian Indigenous children Kim Hare, Amanda Leach, Peter Morris, Heidi Smith-Vaughan, Anne Chang Presentation outline What is bronchiectasis? Our research at Menzies
More informationA new selective blood agar medium for Streptococcus pyogenes and other haemolytic streptococci
J. clin. Path. (1964), 17, 231 A new selective blood agar medium for Streptococcus pyogenes and other haemolytic streptococci E. J. L. LOWBURY, A. KIDSON, AND H. A. LILLY From the Medical Research Council
More informationRespiratory System Virology
Respiratory System Virology Common Cold: Rhinitis. A benign self limited syndrome caused by several families of viruses. The most frequent acute illness in industrialized world. Mild URT illness involving:
More informationIncidence of Odontogenic Sinusitis Experience in a Tertiary Care Centre
Original Article DOI: 10.17354/ijss/2016/130 Incidence of Odontogenic Sinusitis Experience in a Tertiary Care Centre B G Prakash 1, Suhasini Biyyapu 2 1 Professor, Department of ENT, JSS Medical College,
More information