上顎洞内貯留液よりみた副鼻腔炎検出菌の検討

• 足立 光朗

  前田耳鼻咽喉科気管食道科病院 三重大学医学部耳鼻咽喉科学教室

• 古田 茂

  前田耳鼻咽喉科気管食道科病院

• 鈴木 慎也

  前田耳鼻咽喉科気管食道科病院 三重県立総合医療センター耳鼻咽喉科

• 前田 太郎

  前田耳鼻咽喉科気管食道科病院

書誌事項

タイトル別名

• Bacterial Examination of Sinusitis Using Antral Puncture and Irrigation.

抄録

Aerobic bacterial examination for sinusitis was conducted using specimens from maxillary sinuses collected by antral puncture in 540 patients-284 men and 256 women aged 6-89 years-between May 1999 and April 2000. We obtained 528 strains of bacteria.<br>Our results were as follows:<br>1. We obtained 303 pathogens from 540 patients. In acute sinusitis, the most frequently found was Streptococcus pneumoniae (30.4%), followed by Hemophilus influenzae (27.7%). In chronic cases, the most frequently found was Streptococcus pneumoniae (16.0%), followed by Hemophilus influenzae (15.1%) and Staphylococcus epidermidis (12.6%).<br>2. We found an increase in bacteria resistant to multiple drugs, with 11.1% of the Staphylococcus aureus isolates methicillin-resistant in acute sinusitis and 40% methicillin-resistant in chronic sinusitis, and that 30.6% of Streptococcus pneumoniae isolates were penicillin-resistant.<br>3. Ciclacillin was effective against 64.7% of all pathogens isolated in this study, cefpodoxime proxetil effective against 6.5%, and cefixime effective against 2.4%.<br>4. In considering pathogens, we therefore choose antibiotics and make a maxillary aspiration puncture.

収録刊行物

• 日本耳鼻咽喉科学会会報

  日本耳鼻咽喉科学会会報 105 (9), 925-930, 2002

  一般社団法人 日本耳鼻咽喉科頭頸部外科学会

キーワード

• 副鼻腔炎
• 上顎洞穿刺

詳細情報

• CRID: 1390001205005769984
• NII論文ID: 10010307772
• NII書誌ID: AN00191551
• DOI: 10.3950/jibiinkoka.105.925
• COI: 1:STN:280:DC%2BD38nktFOqsQ%3D%3D
• ISSN: 18830854
• ISSN: 00306622
• PubMed: 12400169
• Web Site: https://search.jamas.or.jp/link/ui/2003081129
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可