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A 5-year review of the microbiology of acute complicated bacterial sinusitis at the University of the WitwatersrandOlwoch, Ian Paul 30 September 2008 (has links)
SUMMARY
This study retrospectively analysed the bacteriology of 226 patients who were
admitted, with acute complicated sinusitis, to the University of the
Witwatersrand’s ENT complex over a 5-year period, between the 1st January
2002 and 31st December 2006. There were 159 male and 67 females (ratio
2.4:1) aged between 1 and 74 (mean 16.5 ± 0.7) years. 116 (51.3%) patients
were 15 years and younger and 110 (48.7%) were above the age of 15 years.
All 226 patients had one or more of an orbital, soft tissue or bony
complication and underwent open sinus surgery by way of an external
frontoethmoidectomy approach (or ethmoidectomy) with maxillary sinus
puncture and sinus washout. Intracranial complications were present in 37
(16.4%) patients of whom 12 required drainage of a subdural empyema and,
one required drainage of a brain abscess.
233 microorganisms were isolated for analysis from positive cultures obtained
from 163 (72.1%) patients (1.4 isolates per specimen) and 63 (27.9%) cultures
were negative. Aerobic and facultative anaerobes accounted for 199 (85.4%)
of the isolates whilst anaerobes accounted for 31 (13.3%) and fungi for 3
(1.3%). 107 (65.4%) of the positive culture specimens were monomicrobial
whilst 56 (34.6%) contained 2 to 4 different species of microorganism. The
proportion of anaerobes was notably higher (p<0.05) polymicrobial specimen
than in monomicrobial specimen.The most commonly isolated aerobic microorganisms were Streptococcus
milleri (18.5%), Staphylococcus aureus (12.4%), β-haemolytic streptococci
groups A, C, F, and G (10.3%), coagulase negative staphylococcus (8.6%) and
Haemophilus influenzae (8.6%). In contrast, Streptococcus pneumoniae
(2.6%) and Moraxella catarrhalis (0.4%) were not major pathogens.
Peptostreptococcus (6.4%) and Prevotella (4.7%) species were the most
common anaerobes.
The profile of isolates was not influenced by gender or by the presence of
intracranial complications. However, age and location did have a significant
(p<0.05) impact. Haemophilus influenzae was more significant (p<0.05) in
patients aged 15 years and younger. Streptococcus milleri was the most
common isolate (28.3%) at the Chris Hani Baragwanath Hospital but ranked
5th (2.3%) at the Johannesburg Hospital. β-haemolytic streptococci and
coagulase negative staphylococcus ranked 1st (20.8%) and 2nd (14.8%)
respectively at the Johannesburg Hospital but only 4th (4.8%) and 5th (2.8%)
respectively at the Chris Hani Baragwanath Hospital.
Penicillin, ampicillin and erythromycin were effective against Streptococcus
milleri, β-haemolytic streptococci, Streptococcus pneumoniae and
streptococcal species. Cloxacillin was effective against Staphylococcus aureus
and coagulase negative staphylococci. Methicillin-resistant Staphylococcus
aureus was isolated in 3 patients (1.3%). Haemophilus influenzae was resistant
to ampicillin in 22.2% cases in which it was the sole pathogen.
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Sinusitis crónica: variantes anatómicas determinadas mediante tomografìa helicoidal “Hospital Nacional Arzobispo Loayza, 2003-2004”Valdivia Calderón,Víctor Raúl January 2004 (has links)
No description available.
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Quantitative Skelettszintigraphie des Schädels mit Tc-99m-Sn-Pyrophosphat bei Patienten mit Sinusitis maxillaris im Vergleich zu GesundenRauscher, Jakob, January 1979 (has links)
Thesis (doctoral)--Ludwig Maximilians-Universität zu München, 1979.
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The efficacy of the main miasmatic nosodes in the treatment of chronic sinusitisDlamini, Nomthandazo January 2003 (has links)
Thesis (M.Tech.: Homoeopathy)-Dept. of Homoeopathy, Durban Institute of Technology, 2003
1 v. (various pagings) / The purpose of this double blind placebo controlled study was to evaluate the
efficacy of the main miasmatic nosodes in the treatment of chronic sinusitis in
terms of the patients’ perception of the treatment.
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The efficacy of homoeopathic simillimum in the treatment of chronic sinusitisIsmail, Shaida January 2003 (has links)
Thesis (M.Tech.: Homoeopathy) - Dept. of Homoeopathy, Durban Institute of Technology, 2003
1 v. (various pagings) / The purpose of this placebo-controlled study was to evaluate the efficacy of homoeopathic simillimum treatment of patients suffering from chronic sinusitis, in terms of the patient’s perception of the treatment.
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A study investigating the efficacy of a homoeopathic complex (Hydrastis canadensis 9CH, Kalium bichromicum 9CH, Sambucus nigra 9CH) on the treatment of chronic sinusitisEbrahim, Shera January 2003 (has links)
Thesis (M.Tech.: Homoeopathy)-Dept. of Homoeopathy, Durban Institute of Technology, 2003
xiii, 66 leaves / Chronic Sinusitis is defined as a condition manifested by the inflammation of the mucous membranes of the nasal cavity and the paranasal sinuses, fluids within these sinuses, and/or the underlying bone (Lanza and Kennedy, 1997). It is diagnosed if the condition has been present for 4 weeks or more (Carr, 2001).
The demand for non-invasive, harmless and successful treatment for this condition is quite evident and increasing (Mayo Health Clinic Oasis, 2000).
The aim of the study was to evaluate the efficacy of a homoeopathic complex in the treatment of chronic sinusitis in terms of the patients’ perception (Appendices C1 & C2) of the treatment.
The homoeopathic complex used in this double-blind study was made up of Hydrastis canadensis 9CH, Kalium bichromicum 9CH and Sambucus nigra 9CH.
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The efficacy of the main miasmatic nosodes in the treatment of chronic sinusitisDlamini, Nomthandazo January 2003 (has links)
Thesis (M.Tech.: Homoeopathy)-Dept. of Homoeopathy, Durban Institute of Technology, 2003
1 v. (various pagings) / The purpose of this double blind placebo controlled study was to evaluate the
efficacy of the main miasmatic nosodes in the treatment of chronic sinusitis in
terms of the patients’ perception of the treatment.
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The efficacy of homoeopathic simillimum in the treatment of chronic sinusitisIsmail, Shaida January 2003 (has links)
Thesis (M.Tech.: Homoeopathy) - Dept. of Homoeopathy, Durban Institute of Technology, 2003
1 v. (various pagings) / The purpose of this placebo-controlled study was to evaluate the efficacy of homoeopathic simillimum treatment of patients suffering from chronic sinusitis, in terms of the patient’s perception of the treatment.
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A study investigating the efficacy of a homoeopathic complex (Hydrastis canadensis 9CH, Kalium bichromicum 9CH, Sambucus nigra 9CH) on the treatment of chronic sinusitisEbrahim, Shera January 2003 (has links)
Thesis (M.Tech.: Homoeopathy)-Dept. of Homoeopathy, Durban Institute of Technology, 2003
xiii, 66 leaves / Chronic Sinusitis is defined as a condition manifested by the inflammation of the mucous membranes of the nasal cavity and the paranasal sinuses, fluids within these sinuses, and/or the underlying bone (Lanza and Kennedy, 1997). It is diagnosed if the condition has been present for 4 weeks or more (Carr, 2001).
The demand for non-invasive, harmless and successful treatment for this condition is quite evident and increasing (Mayo Health Clinic Oasis, 2000).
The aim of the study was to evaluate the efficacy of a homoeopathic complex in the treatment of chronic sinusitis in terms of the patients’ perception (Appendices C1 & C2) of the treatment.
The homoeopathic complex used in this double-blind study was made up of Hydrastis canadensis 9CH, Kalium bichromicum 9CH and Sambucus nigra 9CH.
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Sinusitis.Tjung, Henny. January 2008 (has links) (PDF)
Includes bibliographical references and index.
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