Microbiology of Acute and Chronic Sinusitis in Children and Adults

  • Ellen R. Wald


The microbiology of paranasal sinus infections can be anticipated according to the age of the patient, clinical presentation, and immunocompetency of the host. In acute sinus disease, viral upper respiratory infections frequently precede bacterial superinfection by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. Staphylococci and respiratory anaerobes are common in chronic sinus infection, which may also be caused by exacerbations of infection with the bacterial species that cause acute disease. Enterobacteriacae may be found in patients with nosocomial sinusitis; predisposing causes are prolonged nasogastric and nasotracheal intubation. Finally, fungi may cause chronic disease in immunocompetent hosts or acute infection in immunocompromised patients.


Paranasal Sinus Maxillary Sinus Chronic Sinusitis Acute Sinusitis Nasotracheal Intubation 
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© Springer Science+Business Media New York 1996

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  • Ellen R. Wald

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