BACTERIAL AETIOLOGY OF CHRONIC RHINOSINUSITIS IN CHILDREN

*Magdalena Frąckiewicz, Lechosław P. Chmielik, Mieczysław Chmielik

Summary
Introduction: Chronic rhinosinusitis (CRS) is an inflammatory process affecting the mucosa of the nasal cavities and paranasal sinuses. The inflammation lasts more than 12 weeks. In the aetiology of rhinosinusitis bacteria dominate. The most common are: Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis.
Aim: To assess bacteriological testing of samples taken from the middle nasal turbinates and lumen of maxillary sinuses of children operated on for chronic rhinosinusitis.
Material and method: The research included 116 children treated surgically in the Department of Paediatric Otolaryngology, Medical University of Warsaw. The material for bacteriological examination was taken during the surgical procedure from both the middle nasal turbinates and maxillary sinuses
Results: Two diagrams presented below show the most frequent pathogens causing chronic rhinosinusitis. Both in the material from the maxillary sinuses and from the middle nasal turbinates Staphylococcus spp. coagularo (-) was cultured most frequently.
Conclusions: 1. Results of bacteriological testing in the examined group differ from the most common aetiology that causes chronic rhinosinusitis. 2. Results taken from the middle nasal turbinate differ from the results taken from the lumen of the maxillary sinuses.

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