Aspiration Technique Improves Reliability of Endoscopically Directed Middle Meatal Cultures in Pediatric Rhinosinusitis

Author:

Hsin Chung-Han12,Chen Tsai-Hsin23,Su Mao-Chang13,Jiang Rong-San34,Liu Chia-Ming5

Affiliation:

1. Departments of Otolaryngology, Chung Shan Medical University Hospital, Taichung, Taiwan

2. Departments of School of Medicine, Chung Shan Medical University, Taichung, Taiwan

3. Departments of Anesthesiology, Chung Shan Medical University Hospital, Taichung, Taiwan

4. Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan

5. Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan

Abstract

Background Most studies demonstrated that the results of endoscopically directed middle meatal cultures (EDMMC) compare favorable with those of maxillary sinus taps in adults rhinosinusitis. Studies comparing results of EDMMC and antral puncture cultures in pediatric rhinosinusitis, however, revealed a decreased correlation. Sampling by suction aspiration was considered likely to improve the reliability of culture. Objective The aim of this study was to compare the microbiology results obtained by EDMMC using swabs or suction aspiration with the results of maxillary sinus taps in pediatric rhinosinusitis. Methods Thirty-one children with chronic rhinosinusitis were enrolled. Patients enrolled in 2007 (group A), underwent EDMMC using a swab, whereas those enrolled in 2008 (group B) underwent EDMMC using suction aspiration. Results obtained by EDMMC were compared with those of maxillary sinus taps. Results In group A, 29 paired cultures were obtained from 15 patients. In group B, 30 paired cultures were obtained from 16 patients. In group A, EDMMC by swab demonstrated a sensitivity of 52%, a specificity of 100%, and a correlation of 66%. In group B, EDMMC by suction aspiration provided a sensitivity of 86%, a specificity of 100%, and a correlation of 87%. The difference in density of growth between EDMMC with swab and maxillary sinus tap was not significant, but the difference between EDMMC with aspiration and maxillary sinus tap was significant. Conclusion Aspiration technique can significantly enhance the reliability of endoscopy cultures in children with rhinosinusitis, probably by increasing the amount of specimen obtained.

Publisher

SAGE Publications

Subject

General Medicine,Otorhinolaryngology,Immunology and Allergy

Cited by 9 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Diagnostic Value of Middle Meatal Cultures versus Maxillary Sinus Culture in Acute and Chronic Sinusitis: A Systematic Review and Meta-Analysis;Journal of Clinical Medicine;2022-10-14

2. Pediatric chronic sinusitis: diagnosis and management;Current Opinion in Otolaryngology & Head & Neck Surgery;2021-12-15

3. Pediatric Chronic Rhinosinusitis;Cummings Pediatric Otolaryngology;2021

4. Pediatric Chronic Rhinosinusitis;Cummings Pediatric Otolaryngology;2015

5. Diagnosis of acute rhinosinusitis;Pediatric Allergy and Immunology;2012-07-04

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