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Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin.
Laryngoscope. 2005 May; 115(5):823-5.L

Abstract

OBJECTIVES

: To study the microbiology of sinusitis associated with odontogenic origin.

METHODS

: Aspirates of 20 acutely and 28 chronically infected maxillary sinuses that were associated with odontogenic infection were processed for aerobic and anaerobic bacteria.

RESULTS

: A total of 66 isolates were recovered from the 20 cases of acute sinusitis (3.3/specimen), 16 aerobic and facultatives, and 50 anaerobic. Aerobes alone were recovered in 2 (10%) specimens, anaerobes only in 10 (50%), and mixed aerobic and anaerobic bacteria in 8 (40%). The predominant aerobic were alpha-hemolytic streptococci (5), microaerophilic streptococci (4), and Staphylococcus aureus (2). The predominant anaerobes were anaerobic Gram-negative bacilli (22), Peptostreptococcus (12), and Fusobacterium spp. (9). A total of 98 isolates were recovered from the 28 cases of chronic sinusitis (3.5/patient): 21 aerobic and facultatives and 77 anaerobic. Aerobes were recovered in 3 (11%) instances, anaerobes only in 11 (39%), and mixed aerobic and anaerobic bacteria in 14 (50%). The predominant aerobes were alpha-hemolytic streptococci (7), microaerophilic streptococci (4), and S. aureus (5). The predominant anaerobes were Gram-negative bacilli (41), Peptostreptococcus (16), and Fusobacterium spp. (12). Thirteen beta-lactamase-producing bacteria (BLPB) were recovered from 10 (50%) patients with acute sinusitis and 25 BLPB from 21 (75%) patients with chronic sinusitis. No correlation was found between the predisposing odontogenic conditions and the microbiological findings.

CONCLUSIONS

: These data illustrate the similar microbiology of acute and chronic maxillary sinusitis associated with odontogenic infection where anaerobic bacteria predominate in both types of infections.

Authors+Show Affiliations

Brook I
Department of Pediatrics, Georgetown University School of Medicine, Washington, DC, USA. ib6@georgetown.edu

MeSH

Acute DiseaseAdolescentAdultAgedBacteria, AerobicBacteria, AnaerobicChildChronic DiseaseFemaleGram-Negative Bacterial InfectionsGram-Positive Bacterial InfectionsHumansMaleMaxillary SinusitisMiddle AgedTooth Diseases

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15867647

Citation

Brook, Itzhak. "Microbiology of Acute and Chronic Maxillary Sinusitis Associated With an Odontogenic Origin." The Laryngoscope, vol. 115, no. 5, 2005, pp. 823-5.
Brook I. Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin. Laryngoscope. 2005;115(5):823-5.
Brook, I. (2005). Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin. The Laryngoscope, 115(5), 823-5.
Brook I. Microbiology of Acute and Chronic Maxillary Sinusitis Associated With an Odontogenic Origin. Laryngoscope. 2005;115(5):823-5. PubMed PMID: 15867647.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin. A1 - Brook,Itzhak, PY - 2005/5/4/pubmed PY - 2005/6/1/medline PY - 2005/5/4/entrez SP - 823 EP - 5 JF - The Laryngoscope JO - Laryngoscope VL - 115 IS - 5 N2 - OBJECTIVES: : To study the microbiology of sinusitis associated with odontogenic origin. METHODS: : Aspirates of 20 acutely and 28 chronically infected maxillary sinuses that were associated with odontogenic infection were processed for aerobic and anaerobic bacteria. RESULTS: : A total of 66 isolates were recovered from the 20 cases of acute sinusitis (3.3/specimen), 16 aerobic and facultatives, and 50 anaerobic. Aerobes alone were recovered in 2 (10%) specimens, anaerobes only in 10 (50%), and mixed aerobic and anaerobic bacteria in 8 (40%). The predominant aerobic were alpha-hemolytic streptococci (5), microaerophilic streptococci (4), and Staphylococcus aureus (2). The predominant anaerobes were anaerobic Gram-negative bacilli (22), Peptostreptococcus (12), and Fusobacterium spp. (9). A total of 98 isolates were recovered from the 28 cases of chronic sinusitis (3.5/patient): 21 aerobic and facultatives and 77 anaerobic. Aerobes were recovered in 3 (11%) instances, anaerobes only in 11 (39%), and mixed aerobic and anaerobic bacteria in 14 (50%). The predominant aerobes were alpha-hemolytic streptococci (7), microaerophilic streptococci (4), and S. aureus (5). The predominant anaerobes were Gram-negative bacilli (41), Peptostreptococcus (16), and Fusobacterium spp. (12). Thirteen beta-lactamase-producing bacteria (BLPB) were recovered from 10 (50%) patients with acute sinusitis and 25 BLPB from 21 (75%) patients with chronic sinusitis. No correlation was found between the predisposing odontogenic conditions and the microbiological findings. CONCLUSIONS: : These data illustrate the similar microbiology of acute and chronic maxillary sinusitis associated with odontogenic infection where anaerobic bacteria predominate in both types of infections. SN - 0023-852X UR - https://www.unboundmedicine.com/medline/citation/15867647/Microbiology_of_acute_and_chronic_maxillary_sinusitis_associated_with_an_odontogenic_origin_ DB - PRIME DP - Unbound Medicine ER -