Comparison of the nasal bacterial floras in two groups of healthy subjects and in patients with acute maxillary sinusitis
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| Published in | Journal of Clinical Microbiology Vol. 27; no. 12; pp. 2736 - 2743 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
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Washington, DC
American Society for Microbiology
01.12.1989
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| Online Access | Get full text |
| ISSN | 0095-1137 1098-660X |
| DOI | 10.1128/jcm.27.12.2736-2743.1989 |
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| AbstractList | The nasal bacterial flora was studied in 183 healthy men entering military service (entry group), 103 healthy recruits in service (service group), and 185 recruits with acute maxillary sinusitis. The 267 nasal and ipsilateral sinus aspirate findings in the same patients with acute maxillary sinusitis were compared pairwise. In the entry group presumed sinus pathogens were only rarely isolated from the nasal cavities: Haemophilus influenzae in 4%, Streptococcus pneumoniae in 1%, Branhamella catarrhalis in 3%, and Streptococcus pyogenes in 0%. The corresponding isolation frequencies in the service group were 19, 13, 3, and less than 1%, respectively, and those in the group with acute maxillary sinusitis were 61, 25, 7, and 6%, respectively. Suppression of the major components of the normal nasal flora, Corynebacterium sp., coagulase-negative staphylococci, Propionibacterium acnes, and Staphylococcus aureus, was seen in the group with acute maxillary sinusitis and also occasionally in the service group. When a sinus aspirate culture yielded a presumed sinus pathogen, the same pathogen was found in the nasal samples in 91% of the cases. The predictive value of a pathogen-positive nasal finding was highest (93.8%) for S. pyogenes, followed by 77.7% for H. influenzae and 68.7% for S. pneumoniae, and lowest (20%) for B. catarrhalis.The nasal bacterial flora was studied in 183 healthy men entering military service (entry group), 103 healthy recruits in service (service group), and 185 recruits with acute maxillary sinusitis. The 267 nasal and ipsilateral sinus aspirate findings in the same patients with acute maxillary sinusitis were compared pairwise. In the entry group presumed sinus pathogens were only rarely isolated from the nasal cavities: Haemophilus influenzae in 4%, Streptococcus pneumoniae in 1%, Branhamella catarrhalis in 3%, and Streptococcus pyogenes in 0%. The corresponding isolation frequencies in the service group were 19, 13, 3, and less than 1%, respectively, and those in the group with acute maxillary sinusitis were 61, 25, 7, and 6%, respectively. Suppression of the major components of the normal nasal flora, Corynebacterium sp., coagulase-negative staphylococci, Propionibacterium acnes, and Staphylococcus aureus, was seen in the group with acute maxillary sinusitis and also occasionally in the service group. When a sinus aspirate culture yielded a presumed sinus pathogen, the same pathogen was found in the nasal samples in 91% of the cases. The predictive value of a pathogen-positive nasal finding was highest (93.8%) for S. pyogenes, followed by 77.7% for H. influenzae and 68.7% for S. pneumoniae, and lowest (20%) for B. catarrhalis. The nasal bacterial flora was studied in 183 healthy men entering military service (entry group), 103 healthy recruits in service (service group), and 185 recruits with acute maxillary sinusitis. The 267 nasal and ipsilateral sinus aspirate findings in the same patients with acute maxillary sinusitis were compared pairwise. In the entry group presumed sinus pathogens were only rarely isolated from the nasal cavities: Haemophilus influenzae in 4%, Streptococcus pneumoniae in 1%, Branhamella catarrhalis in 3%, and Streptococcus pyogenes in 0%. The corresponding isolation frequencies in the service group were 19, 13, 3, and less than 1%, respectively, and those in the group with acute maxillary sinusitis were 61, 25, 7, and 6%, respectively. Suppression of the major components of the normal nasal flora, Corynebacterium sp., coagulase-negative staphylococci, Propionibacterium acnes, and Staphylococcus aureus, was seen in the group with acute maxillary sinusitis and also occasionally in the service group. When a sinus aspirate culture yielded a presumed sinus pathogen, the same pathogen was found in the nasal samples in 91% of the cases. The predictive value of a pathogen-positive nasal finding was highest (93.8%) for S. pyogenes, followed by 77.7% for H. influenzae and 68.7% for S. pneumoniae, and lowest (20%) for B. catarrhalis. Article Usage Stats Services JCM Citing Articles Google Scholar PubMed Related Content Social Bookmarking CiteULike Delicious Digg Facebook Google+ Mendeley Reddit StumbleUpon Twitter current issue JCM About JCM Subscribers Authors Reviewers Advertisers Inquiries from the Press Permissions & Commercial Reprints ASM Journals Public Access Policy JCM RSS Feeds 1752 N Street N.W. • Washington DC 20036 202.737.3600 • 202.942.9355 fax • journals@asmusa.org Print ISSN: 0095-1137 Online ISSN: 1098-660X Copyright © 2014 by the American Society for Microbiology. For an alternate route to JCM .asm.org, visit: JCM |
| Author | H R Jousimies-Somer S Savolainen J S Ylikoski |
| AuthorAffiliation | Anaerobe Reference Unit, National Public Health Institute, Helsinki, Finland |
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| Keywords | Human Acute Nose Maxillary sinus Bacteria Microflora ENT disease Sinusitis |
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| References_xml | – reference: 474131 - Acta Pathol Microbiol Scand B. 1979 Jun;87B(3):161-4 – reference: 14146702 - Acta Otolaryngol Suppl. 1964;188:SUPPL 188:390+ – reference: 3547601 - Rhinology. 1986 Dec;24(4):249-55 – reference: 7265163 - J Med Microbiol. 1981 Aug;14(3):233-41 – reference: 3554464 - Rhinology. 1987 Mar;25(1):49-55 – reference: 4149238 - Laryngoscope. 1973 Dec;83(12):2003-11 – reference: 5934954 - N Engl J Med. 1966 May 26;274(21):1171-3 – reference: 7430390 - J Clin Pathol. 1980 Aug;33(8):770-3 – reference: 5859746 - South Med J. 1965 Dec;58(12):1497-502 – reference: 2498094 - Eur J Clin Microbiol Infect Dis. 1989 Feb;8(2):131-5 – reference: 169466 - N Engl J Med. 1975 Oct 9;293(15):735-9 – reference: 53370 - Lancet. 1975 Nov 8;2(7941):883-6 – reference: 6791566 - Ann Otol Rhinol Laryngol Suppl. 1981 May-Jun;90(3 Pt 3):68-71 – reference: 5278896 - Acta Pathol Microbiol Scand B Microbiol Immunol. 1970;78(6):780-4 – reference: 6388229 - Acta Otolaryngol. 1984 Sep-Oct;98(3-4):315-20 – reference: 3871478 - J Pediatr. 1985 Feb;106(2):190-5 – reference: 3182986 - J Clin Microbiol. 1988 Oct;26(10):1919-25 – reference: 15426617 - Bacteriol Rev. 1950 Jun;14(2):115-60 – reference: 4401780 - Scand J Infect Dis. 1972;4(1):43-8 – reference: 14005288 - J Bacteriol. 1962 Jan;83:144-8 – reference: 7034653 - Ann Sclavo. 1981 Mar-Apr;23(2):151-61 – reference: 6806656 - N Engl J Med. 1982 Jul 8;307(2):83-93 – reference: 4401201 - Pediatrics. 1972 Apr;49(4):596-9 – reference: 7024434 - J Infect Dis. 1981 Sep;144(3):284-91 – reference: 2710534 - ORL J Otorhinolaryngol Relat Spec. 1989;51(1):50-5 – reference: 4881243 - HNO. 1968 Feb;16(2):35-9 – reference: 5673493 - Am J Epidemiol. 1968 Sep;88(2):234-44 |
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Mendeley... The nasal bacterial flora was studied in 183 healthy men entering military service (entry group), 103 healthy recruits in service (service group), and 185... |
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| StartPage | 2736 |
| SubjectTerms | Adolescent Adult Bacteria, Aerobic - growth & development Bacteria, Aerobic - isolation & purification Bacteria, Anaerobic - growth & development Bacteria, Anaerobic - isolation & purification Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Female Human bacterial diseases Humans Infectious diseases Male Maxillary Sinusitis - microbiology Medical sciences Middle Aged Nasal Cavity - microbiology Predictive Value of Tests |
| Title | Comparison of the nasal bacterial floras in two groups of healthy subjects and in patients with acute maxillary sinusitis |
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