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Anterior rhinoscopy and middle meatal culture in acute rhinosinusitis
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Oto-rhino-laryngology, Örebro University Hospital, Örebro, Sweden.
Department of Oto-rhino-laryngology, Örebro University Hospital, Örebro, Sweden.
Department of Oto-rhino-laryngology, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Medicine, Örebro University, Sweden. Örebro University Hospital. Department of Oto-rhino-laryngology.
2013 (English)In: Journal of Laryngology and Otology, ISSN 0022-2151, E-ISSN 1748-5460, Vol. 127, no 11, p. 1088-1092Article in journal (Refereed) Published
Abstract [en]

Objective: To assess the use of bacterial culture findings for middle meatal samples obtained via anterior rhinoscopy, in the diagnosis of adults with acute rhinosinusitis.

Materials and methods: Microbial cultures were prepared for 30 adult patients with acute rhinosinusitis and suspected bacterial involvement, using samples from the nasopharynx, and from the nasal middle meatus obtained via anterior rhinoscopy. Findings for the ipsilateral maxillary antrum were used as a reference.

Results: Seventeen patients had a bacterial infection as verified by a positive culture from the maxillary antrum. Middle meatal samples had a similar sensitivity but a better specificity, positive predictive value and negative predictive value, compared with nasopharyngeal samples, although predictive values were not statistically significant at a 95 per cent confidence level.

Conclusion: Anterior rhinoscopy with culture of middle meatal samples can be recommended as a diagnostic procedure for acute rhinosinusitis. The results can also guide the decision on antibiotic treatment.

Place, publisher, year, edition, pages
Cambridge University Press, 2013. Vol. 127, no 11, p. 1088-1092
Keywords [en]
Sinusitis, Bacteriology, Microbiology, Diagnosis
National Category
Otorhinolaryngology
Research subject
Oto-Rhino-Laryngology
Identifiers
URN: urn:nbn:se:oru:diva-54719DOI: 10.1017/S0022215113002326ISI: 000328476300010PubMedID: 24148230Scopus ID: 2-s2.0-84888594427OAI: oai:DiVA.org:oru-54719DiVA, id: diva2:1065807
Available from: 2017-01-16 Created: 2017-01-16 Last updated: 2017-11-29Bibliographically approved

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Thunberg, UlricaHugosson, Svante

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School of Health and Medical Sciences, Örebro University, SwedenSchool of Medicine, Örebro University, SwedenÖrebro University Hospital
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Journal of Laryngology and Otology
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