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A Changing Pattern of Bacterial Flora In Empyema of the Maxillary Sinus
상악동 축농에서의 세균학적 연구

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Authors
Min, Yang-Gi; Shin, Jin Sung
Issue Date
1988-03
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med, Vol.29 No.1, pp. 71-75
Keywords
BacteriologyEmpyemaMaxillary sinusMaxillary sinusitis
Abstract
The bacterial flora of empyema of the maxillary sinuses in 100 patients were
studied. Patients' age ranged from 15 to 58 : 65 were males and 35 were females. Aseptic collection
of the pus material from only one of the maxillary sinuses was made when the patients
were under local anesthesia for Caldwell-Luc operation. All samples were cultured for both
aerobes and anaerobes. At least one type of organism was isolated in 96 patients and in the
remaining 4, no bacterial growth was obtained after 2 weeks of cultivation.
Aerobes were isolated in 76 patients, either alone (52), or mixed with other aerobe(s) (15)
or anaerobe(s) (9). Anaerobes were isolated in 29 patients, either alone (13), or mixed with
other anaerobe (7). There were 95 aerobic isolates and the predominant ones were: 31
coagulase-negative Staphylococci (24.6%), 28 Streptococcus viridans (22.2%), and 5
Corynebacterium species (4.0%). There were 31 anaerobic isolates and the predominant ones
were: 6 Propionibacterium acnes (4.8%), and 4 each of Bacteroides species, Peptococcus species,
Bacillus corrodens, Streptococcus intermedius (3.2% each).
The presence of aerobic and anaerobic organisms in empyema of the maxillary sinus suggested
that anaerobic organisms could playa significant role in its pathogenesis. There appears
to be a changing trend in the bacterial flora of chronically inflamed paranasal sinuses. It is
plausible that this change may have been brought by the increased awareness of significance
of anaerobic bacteria, better methods of cultivation, and the emergence of resistant strains to
conventional antimicrobial agents.
ISSN
0582-6802
Language
English
URI
https://hdl.handle.net/10371/6363
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 29 No.1 (1988)
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