A comparison between endoscopically middle meatal aspiration culture using modified aspiration instrument and direct maxillary antral tap culture in chronic rhinosinusitis.
Article
in English
| IMSEAR
| ID: sea-38625
ABSTRACT
OBJECTIVES:
To evaluate the accuracy of endoscopically guided middle meatal aspiration culture by comparing the culture results between middle meatal aspiration using the modified aspiration instrument and direct maxillary antral tap. MATERIAL ANDMETHOD:
Sixteen patients with chronic rhinosinusitis underwent functional endoscopic sinus surgery (FESS) were enrolled. Both endoscopically middle meatal aspiration culture (EMAC) using modified aspiration instrument and direct antral tap culture (ATC) were performed before FESS. Microbiologic data were compared and analyzed for any statistical differences between EMAC and ATC.RESULTS:
The positive culture rates were 93.75% in both EMAC and ATC groups. Aerobic and facultative anaerobic bacteria were found in 87.5% of EMAC group and 81.25% of ATC group. The two most common bacteria in both groups were coagulase-negative Staphylococcus and Staphylococcus aureus. The association between EMAC and ATC was strong to moderate (13/16) 81.25%.CONCLUSION:
EMAC appears to be a valuable alternative to ATC for guiding bacterial-specific therapy in chronic rhinosinusitis. This modified aspiration instrument should be useful in clinical practice and serve as a cost effective procedure.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Specimen Handling
/
Suction
/
Biopsy, Needle
/
Female
/
Humans
/
Male
/
Punctures
/
Maxillary Sinusitis
/
Rhinitis
/
Chronic Disease
Type of study:
Observational study
Language:
English
Year:
2005
Type:
Article
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