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Microbiology of the middle meatus in children requiring adenotonsillectomy

Published online by Cambridge University Press:  29 June 2007

Frans Gordts ,
Ibrahim Abu Nasser ,
Denis Pierard ,
Paul Meyvisch  and
Peter A. R. Clement
Frans Gordts*
Affiliation:
Departments of Otorhinolaryngology, University Hospital (Vrije Universiteit Brussel), Brussels, Belgium.
Ibrahim Abu Nasser
Affiliation:
Departments of Otorhinolaryngology, University Hospital (Vrije Universiteit Brussel), Brussels, Belgium.
Denis Pierard
Affiliation:
Departments of Microbiology, University Hospital (Vrije Universiteit Brussel), Brussels, Belgium.
Paul Meyvisch
Affiliation:
Department of Biostatistics and Medical Informatics, University Hospital (Vrije Universiteit Brussel), Brussels, Belgium.
Peter A. R. Clement
Affiliation:
Departments of Otorhinolaryngology, University Hospital (Vrije Universiteit Brussel), Brussels, Belgium.
*
Address for correspondence: Frans Gordts, M.D., Department of Otorhinolaryngology, University Hospital V.U.B., aarbeeklaan 101, B-1090 Brussels, Belgium. Fax: 32-2-477 64 23
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Abstract

Middle meatus samples were cultured in 120 children undergoing adenotonsillectomy with, or without, insertion of ventilation tubes. Every child (except one) had positive cultures. Haemophilus influenzae (62 per cent of the children), Moraxella catarrhalis (53 per cent) and Streptococcus pneumoniae (48 per cent) were the most commonly isolated bacteria. The presence of Moraxella catarrhalis and (to a lesser extent) Streptococcus pneumoniae was higher in younger children, while Haemophilus influenzae was cultured independently of age.

Culture results of these middle meatal samples, carefully taken in order to avoid any contamination, probably reflect some ongoing sinus infection in these children requiring adenotonsillectomy. The problems inherent in the interpretation of surface cultures are addressed.

Keywords

MicrobiologyNasal cavityChild
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 1 , January 1999 , pp. 24 - 27
Copyright
Copyright © JLO (1984) Limited 1999

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References

Almadori, G., Bastianini, L., Bistoni, F., Maurizi, M., Ottaviani, F., Paludetti, G., Scuteri, F. (1986) Microbial flora of nose and paranasal sinuses in chronic maxillary sinusitis. Rhinology 24: 257–264.Google ScholarPubMed
Brook, I. (1981) Aerobic and anaerobic flora of normal maxillary sinuses. Laryngoscope 91: 372–376.CrossRefGoogle ScholarPubMed
Brook, I., Frazier, E. H., Foote, P. A. (1997) Microbiology of chronic maxillary sinusitis: comparison between specimens obtained by sinus endoscopy and by surgical drainage. Journal of Medical Microbiology 46: 430–432.Google Scholar
Clement, P. A. R., Bluestone, C. D., Gordts, F, Lusk, R. P., Otten, F. W. A., Goossens, H., Scadding, G. K., Takahashi, H., Van Buchem, F. L., Van Cauwenberge, P., Wald, E. R., (1998) Management of rhinosinusitis in children. Archives of Otolaryngology – Head and Neck Surgery 124: 31–34.CrossRefGoogle ScholarPubMed
Klossek, J. M., Dubreil, L., Richet, H., Sedallian, A., Beutter, P. (1996) Bacteriology of the adult middle meatus. Journal of Laryngology and Otology 110: 847–849.Google Scholar
Lambrecht, J. T., Bohlck, I., Dierck, P. (1986) 1st die Kieferhohle physiologischerweise keimfrei? In Erkrankungen der Kieferhöhle. (Watzek, G., Matejka, M., eds.) Springer-Verlag, Wien, pp 31–37.CrossRefGoogle Scholar
Lontie, M., Blaton, B. (1997) In vitro activiteit van orale antibiotica op Haemophilus influenzae, Streptococcus pneumoniae en Moraxella catarrhalis. Tijdschrift voor Geneeskunde 53: 3–9.Google Scholar
Lusk, R. P., Lazar, R., Muntz, H. R. (1989) The diagnosis and treatment of recurrent and chronic sinusitis in children. Pediatric Clinics of North America 36: 1411–1421.CrossRefGoogle ScholarPubMed
Maes, J. J., Clement, P. A. R. (1987) The usefulness of irrigations of the maxillary sinus in children with maxillary sinusitis on the basis of the Water's X-ray. Rhinology 25: 259–264.Google ScholarPubMed
Maran, A. G. D., Lund, V. J. (1990) Basic Sciences. In Clinical Rhinology. (Maran, A. G. D., Lund, V. J., eds.) Georg Thieme Verlag, Stuttgart pp 47–48.Google Scholar
Orobello, P. W., Park, R. I., Belcher, L. J., Eggleston, P., Lederman, H. M., Banks, J. R., Modlin, J. F., Nacleirio, R. M. (1991) Microbiology of chronic sinusitis in children. Archives of Otolaryngology – Head and Neck Surgery 117: 980–983.CrossRefGoogle ScholarPubMed
Otten, F. W. A., Grote, J. J. (1988) Treatment of chronic maxillary sinusitis in children. International Journal of Pediatric Otorhinolaryngology 15: 269–278.CrossRefGoogle ScholarPubMed
Rosenfeld, R. M. (1995) Pilot study of outcomes in pediatric rhinosinusitis.Archives of Otolaryngology – Head and Neck Surgery 121: 729–736.CrossRefGoogle ScholarPubMed
Savolainen, S., Ylikoski, J., Jousimies-Somer, H. (1986) The bacterial flora of the nasal cavity in healthy young men. Rhinology 24: 249–255.Google ScholarPubMed
Takahashi, H., Fujita, A., Honjo, I. (1989) Effect of adenoidectomy on otitis media with effusion, tubal function, andsinusitis. American Journal of Otolaryngology 10: 208–213.CrossRefGoogle Scholar
Wald, E. R. (1993) Sinusitis. Pediatric Review 14: 345–351.CrossRefGoogle ScholarPubMed
Wald, E. R. (1996) Rhinitis and acute and chronic sinusitis. In Pediatric Otolaryngology. 3rd Edition. (Bluestone, C. D., Stool, S. E., eds.) W. B. Saunders Company, Philadelphia, pp 843–858.Google Scholar