Comparison of Bacteriology Between Eosinophilic and Noneosinophilic Chronic Rhinosinusitis With Nasal Polyps

Author:

Jiang Rong‐San1234ORCID,Liang Kai‐Li2356ORCID

Affiliation:

1. Department of Medical Research Taichung Veterans General Hospital Taichung Taiwan

2. Department of Otolaryngology Taichung Veterans General Hospital Taichung Taiwan

3. School of Medicine Chung Shan Medical University Taichung Taiwan

4. Rong Hsing Research Center for Translational Medicine National Chung Hsing University Taichung Taiwan

5. Department of Post‐Baccalaureate Medicine, College of Medicine National Chung Hsing University Taichung Taiwan

6. Faculty of Medicine National Yang‐Ming University Taipei Taiwan

Abstract

AbstractObjectiveTo compare culture results between eosinophilic chronic rhinosinusitis (CRS) with nasal polyps (ECRSwNP) and noneosinophilic CRS with nasal polyps (nECRSwNP).Study DesignRetrospective study.SettingTertiary medical center.MethodsWe retrospectively analyzed a cohort of CRSwNP patients undergoing primary functional endoscopic sinus surgery. Prior to surgery, swab samples for bacterial culture were collected from their middle meatus using cotton tips. After surgery, postoperative specimens were histologically examined for tissue eosinophilia. A tissue eosinophil density of >10 cells at high power magnification was used to discriminate between ECRSwNP and nECRSwNP.ResultsA total of 295 patients were studied with polyps present on 471 sides of the nasal cavity. Among them, 236 sides were ECRSwNP, and the remaining 235 sides were nECRSwNP. Bacterial growth was found in 94 ECRSwNP sides, and in 88 nECRSwNP sides. Culture rates were similar between ECRSwNP and nECRSwNP sides (p = .595). However, Gram‐negative aerobes were found in 25 of 236 ECRSwNP sides, and in 42 of 235 nECRSwNP sides. The Gram‐negative culture rate was significantly higher in nECRSwNP than in ECRSwNP sides (p = .024).ConclusionThe bacteriology of CRS was different between ECRSwNP and nECRSwNP. The Gram‐negative aerobes were present more in nECRSwNP than in ECRSwNP.

Publisher

Wiley

Subject

Otorhinolaryngology,Surgery

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