Avaliação da rinussinusite bacteriana aguda em pacientes asmáticos com base em parâmetros clínicos, exame otorrinolaringológico e estudo de imagem / Evaluation of acute bacterial rhinosinusitis in asthma patients based on clinical parameters and imaging studies, together with ear, nose and throat examination
J. bras. pneumol
;
34(6): 340-346, jun. 2008. graf, tab
Article
in English, Portuguese
| LILACS
| ID: lil-485892
RESUMO
OBJETIVO:
Avaliar os seios paranasais em pacientes com asma estável ou asma aguda para determinar a prevalência de rinossinusite bacteriana aguda.MÉTODOS:
Estudo transversal incluindo 30 pacientes com asma aguda (73 por cento do sexo feminino) tratados na sala de emergência e 30 pacientes com asma estável (80 por cento do sexo feminino) regularmente acompanhados em ambulatório. Todos os pacientes responderam a um questionário sobre sinais e sintomas respiratórios e foram submetidos a exame otorrinolaringológico e a radiograma e tomografia computadorizada de seios paranasais.RESULTADOS:
Com base no diagnóstico clínico, a prevalência de rinossinusite bacteriana aguda foi de 40 por cento nos pacientes com asma aguda e de 3 por cento nos com asma estável. O exame otorrinolaringológico e os exames de imagem isoladamente não foram úteis para a confirmação diagnóstica.CONCLUSÕES:
O exame otorrinolaringológico e o radiograma e a tomografia de seios paranasais por si só não foram úteis para o diagnóstico de rinossinusite bacteriana aguda. Nossos resultados confirmam a evidência de que o diagnóstico clínico de rinossinusite aguda deve ser dado com cautela.ABSTRACT
OBJECTIVE:
To evaluate paranasal sinuses in patients with stable or acute asthma in order to determine the prevalence of acute bacterial rhinosinusitis.METHODS:
A cross-sectional study including 30 patients with acute asthma (73 percent females) treated in the emergency room and 30 patients with stable asthma (80 percent females) regularly monitored as outpatients. All patients completed a questionnaire on respiratory signs and symptoms and were submitted to ear, nose and throat (ENT) examination, as well as to X-ray and computed tomography (CT) imaging of the sinuses.RESULTS:
Based on the clinical diagnosis, the prevalence of acute bacterial rhinosinusitis was 40 percent in the patients with acute asthma and 3 percent in those with stable asthma. The ENT examination findings and the imaging findings in isolation were not useful to confirm the diagnosis.CONCLUSIONS:
In themselves, ENT examination findings, X-ray findings and CT findings were not useful for the diagnosis of acute bacterial rhinosinusitis. Our results provide further evidence that a clinical diagnosis of bacterial rhinosinusitis should be made with caution.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Asthma
/
Sinusitis
/
Rhinitis
Type of study:
Observational study
/
Prevalence study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
English
/
Portuguese
Journal:
J. bras. pneumol
Journal subject:
Pulmonary Disease (Specialty)
Year:
2008
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal de São Paulo/BR
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