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Acute Bacterial Sinusitis

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https://www.readbyqxmd.com/read/27888123/acute-rhinosinusitis-during-hajj-season-2014-prevalence-of-bacterial-infection-and-patterns-of-antimicrobial-susceptibility
#1
Osama A Marglani, Ameen Z Alherabi, Islam R Herzallah, Faisal A Saati, Enas A Tantawy, Talal A Alandejani, Hani S Faidah, Naif A Bawazeer, Abdullah A Marghalani, Tariq A Madani
BACKGROUND: The presence of large number of pilgrims during Hajj in Makkah region increases the risk of respiratory diseases. In this study, we aimed to assess the bacteriology of acute rhinosinusitis (ARS) during Hajj season and to demonstrate the antimicrobial susceptibility patterns that should guide the clinicians towards more appropriate antibiotic use. METHODS: Patients with ARS presenting during Hajj season of 2014 were prospectively enrolled. According to EPOS2012 criteria...
November 23, 2016: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/27879558/impact-of-pneumococcal-conjugate-vaccines-on-selected-head-and-neck-infections-in-hospitalized-israeli-children
#2
Tal Marom, Shiran Bookstein Peretz, Orna Schwartz, Abraham Goldfarb, Yahav Oron, Sharon Ovnat Tamir
INTRODUCTION: Streptococcus pneumoniae is a major pathogen of pediatric head and neck infections (HNIs), e.g. acute otitis media (AOM), acute mastoiditis (AM), acute bacterial sinusitis (ABS) and meningitis. The aim of the study was to characterize the epidemiology of pneumococcal HNIs (pHNIs) before, during, and after the introduction of pneumococcal conjugate vaccines (PCVs). METHODS: Children 0-16 years who were hospitalized with HNIs in the Pediatrics Department in a general hospital between 1/1/2007-12/31/2014 were retrospectively identified...
November 22, 2016: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/27847165/bartonella-associated-inflammatory-cardiomyopathy-in-a-dog
#3
R A Santilli, S Battaia, M Perego, M Tursi, E Grego, C Marzufero, P Gianella
A 6-year-old, male, mongrel dog was presented for acute onset of dyspnea and cough. At admission, the dog was cachectic and severely depressed. The electrocardiogram showed a sinus rhythm conducted with left bundle truncular branch block and interrupted by frequent multiform ventricular ectopic beats organized in allorhythmias. Thoracic radiographs revealed a marked cardiomegaly with perihilar edema, whereas transthoracic echocardiography revealed a dilated cardiomyopathy with segmental dyskinesis. Furosemide, enalapril, pimobendan, and mexiletine were prescribed, and a Holter was scheduled after resolution of congestive heart failure...
November 12, 2016: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
https://www.readbyqxmd.com/read/27797408/most-preschool-children-hospitalised-for-acute-rhinosinusitis-had-orbital-complications-and-this-was-more-common-in-younger-children-and-boys
#4
L Schollin Ask, S Hultman Dennison, P Stjärne, A Granath, S Srivastava, M Eriksson, A Lindstrand, M Ryd Rinder
AIM: This study established the incidence of acute rhinosinusitis and related orbital complications in tertiary care in Stockholm County and surveyed the clinical outcomes. METHODS: This was a population-based, retrospective, observational study, from 1 July 2003 to 30 June 2007, of the hospital admissions records of 213 children up to five years old, with a diagnosis of sinusitis and related complications. RESULTS: Preseptal cellulitis was present in 171 of the 213 admissions, which equated to an incidence of orbital complications due to acute rhinosinusitis of 36 per 100,000 people per year (95% confidence interval 26-49)...
October 31, 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/27753120/longitudinal-analysis-of-inflammatory-biomarkers-during-acute-rhinosinusitis
#5
Timo J Autio, Timo Koskenkorva, Tuomo K Leino, Petri Koivunen, Olli-Pekka Alho
OBJECTIVE: To illuminate the pathophysiology of acute rhinosinusitis (ARS) with sequential monitoring of inflammatory biomarkers during an ARS episode and to clarify their diagnostic usability in bacterial ARS. STUDY DESIGN: Inception cohort study with 50 conscripts with ARS. METHODS: We collected peripheral blood high-sensitive C-reactive protein (hs-CRP), white blood cell (WBC), procalcitonin, and nasal nitric oxide (nNO) counts at 2 to 3 and 9 to 10 days of symptoms during an ARS episode...
October 18, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27594955/a-singular-case-of-cavernous-internal-carotid-artery-aneurysm-in-patient-with-cavernous-sinus-syndrome-and-bacterial-meningitis
#6
Federico Sacchetti, Silvia Stagni, Luca Spinardi, Luigi Raumer, Nicola Dentale, Luigi Cirillo
We report the uncommon case of an acute cavernous sinus syndrome in a patient who was consequently discovered to have both a cavernous internal carotid artery aneurysm and bacterial meningitis. Which came first, the chicken or the egg? Which of the two, the aneurysm or the meningitis, gave rise to the patient's symptoms? We briefly reviewed the literature of similar cases and tried to analyze the possible pathophysiological relationship between these findings. Moreover, this case highlights the importance of a multidisciplinary management of these patients to better decide between a medical and a surgical and/or endovascular treatment...
September 2016: Radiology case reports
https://www.readbyqxmd.com/read/27567148/impact-of-an-educational-intervention-to-improve-antibiotic-prescribing-for-nurse-practitioners-in-a-pediatric-urgent-care-center
#7
Gina Weddle, Jennifer Goldman, Angela Myers, Jason Newland
BACKGROUND: Up to 21% of pediatric visits result in an antibiotic prescription, and a large portion of these are unnecessary. OBJECTIVE: To determine if educational sessions would reduce inappropriate antibiotic use. METHODS: Intervention study evaluating antibiotic prescribing following educational sessions for urinary tract infection, skin and soft tissue infection, pharyngitis, upper respiratory tract infection, acute otitis media, and acute bacterial sinusitis...
August 23, 2016: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/27557439/imaging-follow-up-study-of-acute-rhinosinusitis
#8
Timo J Autio, Timo Koskenkorva, Mervi Närkiö, Tuomo K Leino, Petri Koivunen, Olli-Pekka Alho
OBJECTIVES/HYPOTHESIS: To evaluate with imaging the course of acute rhinosinusitis (ARS) and the associations between paranasal imaging results, symptoms, bony anatomic variations, and culture-proven bacterial ARS. STUDY DESIGN: Inception cohort study with 50 conscripts with ARS. METHODS: During a single ARS episode, we collected symptoms daily and took sequential cone-beam computed tomography (CBCT) scans of the paranasal sinuses of the same patients 2 to 3, 5 to 6 and 9 to 10 days after the onset of symptoms...
September 2016: Laryngoscope
https://www.readbyqxmd.com/read/27543734/a-randomized-controlled-study-comparing-the-efficacy-of-positive-pressure-nasal-saline-irrigation-device-versus-syringe-use-in-children-with-acute-rhinosinusitis
#9
Araya Satdhabudha, Kusumawadee Utispan, Paopaga Monthanapisut, Orapan Poachanukoon
OBJECTIVE: To evaluate the efficacy of positive pressure nasal irrigation and the incidence of bacterial colonization found in the irrigation device utilized for nasal saline irrigation in children with acute sinusitis. METHODS: We performed a randomized, prospective, controlled study of 80 children with acute sinusitis, aged 3-15 years. Each participant was randomized into one of two groups, one treated with a squeezable bottle and the other group treated with a syringe...
August 16, 2016: Asian Pacific Journal of Allergy and Immunology
https://www.readbyqxmd.com/read/27514843/reduction-of-streptococcus-pneumoniae-in-upper-respiratory-tract-cultures-and-a-decreased-incidence-of-related-acute-otitis-media-following-introduction-of-childhood-pneumococcal-conjugate-vaccines-in-a-swedish-county
#10
Nils Littorin, Jonas Ahl, Fabian Uddén, Fredrik Resman, Kristian Riesbeck
BACKGROUND: The effect of pneumococcal conjugate vaccines (PCV) on invasive pneumococcal disease is frequently reported, but the impact on upper respiratory tract infections in a clinical setting is less documented. Our aim in this 5-year observational study was to investigate serotype changes in a large number of Streptococcus pneumoniae upper respiratory tract isolates following sequential introduction of PCV7 and pneumococcal Haemophilus influenza protein D conjugate vaccine (PHiD-CV10) in a Swedish county...
August 11, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27508518/host-pathogen-interactions-of-nontypeable-haemophilus-influenzae-from-commensal-to-pathogen
#11
REVIEW
Benjamin Luke Duell, Yu-Ching Su, Kristian Riesbeck
Nontypeable Haemophilus influenzae (NTHi) is a commensal microbe often isolated from the upper and lower respiratory tract. This bacterial species can cause sinusitis, acute otitis media in preschool children, exacerbations in patients suffering from chronic obstructive pulmonary disease, as well as conjunctivitis and bacteremia. Since the introduction of a vaccine against H. influenzae serotype b in the 1990s, the burden of H. influenzae-related infections has been increasingly dominated by NTHi. Understanding the ability of NTHi to cause infection is currently an expanding area of study...
November 2016: FEBS Letters
https://www.readbyqxmd.com/read/27456592/complications-of-sinusitis
#12
Tara F Carr
BACKGROUND: Sinusitis is a common disorder associated with significant patient symptomatology that adversely affects quality of life. Sinusitis can cause further morbidity and mortality through its impact on comorbid disorders, progression of inflammation, and extension of infection. OBJECTIVE: This review highlights common complications of acute bacterial rhinosinusitis (ABRS) and chronic rhinosinusitis (CRS). RESULTS: ABRS is complicated by orbital infections, such as pre- or postseptal cellulitis, and by intracranial infections, including abscesses of the epidural and subdural spaces...
July 2016: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/27450615/evaluation-and-decision-making-in-frontal-sinus-surgery
#13
REVIEW
Alok T Saini, Satish Govindaraj
Management of frontal sinusitis can be challenging for even the most experienced otolaryngologists. A thorough understanding of the anatomy and pathophysiology of the frontal sinus is essential to properly manage disease affecting the frontal sinus. Being able to distinguish acute viral from acute bacterial and acute from chronic sinusitis is crucial because these distinctions guide appropriate management. Nasal endoscopy can confirm diagnosis, and radiologic imaging, including computed tomography and MRI, is often a necessary adjunct that aids in determining appropriate therapeutic decisions...
August 2016: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/27437042/sinusitis-treatment-guideline-adherence-in-the-e-visit-setting-a-performance-improvement-project
#14
Kevin L Smith, Dang Tran, Bonnie L Westra
BACKGROUND: Studies demonstrate poor guideline adherence by health care providers for the treatment of upper respiratory infections, particularly acute bacterial rhinosinusitis (ABRS), in the appropriate prescribing of antibiotic medications. OBJECTIVE: The purpose of this quality improvement project was to evaluate the effect of implementing interventions for improving adherence to a clinical practice guideline for the management of ABRS for patients treated in the e-visit setting...
2016: Applied Clinical Informatics
https://www.readbyqxmd.com/read/27419326/current-concepts-in-adult-acute-rhinosinusitis
#15
Ann M Aring, Miriam M Chan
Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory care. Most cases of acute rhinosinusitis are caused by viral upper respiratory infections. A meta-analysis based on individual patient data found that common clinical signs and symptoms were not effective for identifying patients with rhinosinusitis who would benefit from antibiotics. C-reactive protein and erythrocyte sedimentation rate are somewhat useful tests for confirming acute bacterial maxillary sinusitis. Four signs and symptoms that significantly increase the likelihood of a bacterial cause when present are double sickening, purulent rhinorrhea, erythrocyte sedimentation rate greater than 10 mm per hour, and purulent secretion in the nasal cavity...
July 15, 2016: American Family Physician
https://www.readbyqxmd.com/read/27401467/-cavernous-sinus-thrombosis-as-a-rare-cause-of-exophthalmos-in-childhood-a-case-report
#16
A Kamawal, M A Schmidt, O Rompel, G C Gusek-Schneider, C Y Mardin, R Trollmann
Complications of acute bacterial sinusitis mostly occur in children and adolescents. In particular, intracranial spread of the infection can lead to severe even fatal courses of the disease. This article is a case report about a 13-year-old boy suffering from left-sided headache, meningismus and exophthalmos as presenting symptoms. Cranial magnetic resonance imaging (MRI) showed merely right-sided sphenoid sinusitis; however, the diffusion-weighted MRI sequence indicated a left-sided cavernous sinus thrombosis, which could be confirmed by computed tomography (CT) angiography...
July 11, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/27364497/nasopharyngeal-microbiota-composition-of-children-is-related-to-the-frequency-of-upper-respiratory-infection-and-acute-sinusitis
#17
Clark A Santee, Nabeetha A Nagalingam, Ali A Faruqi, Gregory P DeMuri, James E Gern, Ellen R Wald, Susan V Lynch
BACKGROUND: Upper respiratory infections (URI) and their complications are a major healthcare burden for pediatric populations. Although the microbiology of the nasopharynx is an important determinant of the complications of URI, little is known of the nasopharyngeal (NP) microbiota of children, the factors that affect its composition, and its precise relationship with URI. RESULTS: Healthy children (n = 47) aged 49-84 months from a prospective cohort study based in Wisconsin, USA, were examined...
2016: Microbiome
https://www.readbyqxmd.com/read/27354445/free-sialic-acid-acts-as-a-signal-that-promotes-streptococcus-pneumoniae-invasion-of-nasal-tissue-and-nonhematogenous-invasion-of-the-central-nervous-system
#18
Brandon L Hatcher, Joanetha Y Hale, David E Briles
Streptococcus pneumoniae (pneumococcus) is a leading cause of bacterial meningitis and neurological sequelae in children worldwide. Acute bacterial meningitis is widely considered to result from bacteremia that leads to blood-brain barrier breakdown and bacterial dissemination throughout the central nervous system (CNS). Previously, we showed that pneumococci can gain access to the CNS through a nonhematogenous route without peripheral blood infection. This access is thought to occur when the pneumococci in the upper sinus follow the olfactory nerves and enter the CNS through the olfactory bulbs...
September 2016: Infection and Immunity
https://www.readbyqxmd.com/read/27314239/-orbital-complication-of-acute-sinusitis-orbital-cellulitis-in-a-10-year-old-child
#19
A Bajor, C P Lang, E Bültmann, C Framme, K Hufendiek
Bacterial orbital cellulitis is a life-threatening infection of the postseptal orbital tissue. It can occur in the context of sinusitis, particularly in children and adolescents. Ocular complications include exposure keratopathy, increased intraocular pressure, occlusion of the central retinal artery or vein and optic neuropathy. Rarely, a subperiosteal abscess can occur, and osteomyelitis can lead to spread of the infection to the cerebrum. A rapid diagnosis and targeted therapy are essential for saving the eye as well as the life of the patient...
June 17, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/27282403/detection-of-streptococcus-pneumoniae-and-moraxella-catarrhalis-in-patients-with-paranasal-chronic-sinusitis-by-polymerase-chain-reaction-method
#20
Ahmad Farajzadeh Sheikh, Khadijeh Ahmadi, Soheila Nikakhlagh
BACKGROUND: Sinusitis is a complex involvement of the upper respiratory system by bacteria, viruses, fungi, or other allergens. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis are the dominant bacterial microorganisms involved in acute sinusitis, whereas in chronic sinusitis, Staphylococcus aureus and some anaerobic bacteria are the prevailing pathogens. Appropriate antibiotic treatment requires sinusitis bacteriology assessment. The aim of this study was to isolate bacteria in clinical samples from patients with chronic sinusitis...
August 2016: Journal of the Chinese Medical Association: JCMA
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