Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/80658
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | The bacteriology of chronic rhinosinusitis and the pre-eminence of Staphylococcus aureus in revision patients |
Author: | Cleland, E. Bassiouni, A. Wormald, P. |
Citation: | International Forum of Allergy and Rhinology, 2013; 3(8):642-646 |
Publisher: | American Rhinologic Society |
Issue Date: | 2013 |
ISSN: | 2042-6976 2042-6984 |
Statement of Responsibility: | Edward John Cleland, Ahmed Bassiouni, and Peter-John Wormald |
Abstract: | <h4>Background</h4>The role of bacteria in the etiopathogenesis of chronic rhinosinusitis (CRS) remains an area of interest. The impact of surgery and factors such as the presence of polyps, asthma, and aspirin sensitivity on the bacterial state are poorly understood. To determine the effect of these factors, this study examines the culture results from a large cohort of CRS patients.<h4>Methods</h4>This retrospective study used the culture results from 513 CRS patients, which were analyzed for species growth and compared to factors such as previous surgery, presence of polyps, aspirin sensitivity, and asthma. Univariate and multivariate logistic regression models were used for statistical analysis.<h4>Results</h4>Eighty-three percent (83%) of patients had a positive culture result. The average number of isolates detected per patient was 0.95. S. aureus was the most frequently cultured organism (35%), followed by P. aeruginosa (9%), Haemophilus spp. (7%), and S. pneumonia (5%). Revision patients were more likely to grow S. aureus (p = 0.001), P. aeruginosa (p = 0.044) and have a positive culture (p = 0.001). Asthma was correlated with a positive culture (p = 0.039). No difference was determined between polyp and nonpolyp patients for any of the bacterial outcomes.<h4>Conclusion</h4>This study highlights important factors in the bacteriology of CRS patients. S. aureus was the most prevalent species identified in our cohort, followed by P. aeruginosa. S. aureus rates of isolation were also significantly higher in patients undergoing revision surgery. No association was found between the presence of nasal polyposis and culture rates. |
Keywords: | chronic rhinosinusitis CRS Staphylococcus aureus Pseudomonas aeruginosa microbiology primary revision |
Rights: | © 2013 ARS-AAOA, LLC |
DOI: | 10.1002/alr.21159 |
Published version: | http://dx.doi.org/10.1002/alr.21159 |
Appears in Collections: | Aurora harvest Surgery publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.