Η σημασία της έγκαιρης εργαστηριακής και κλινικής διερεύνησης ασθενών νοσηλευομένων σε μονάδα εντατικής θεραπείας που πάσχουν από ρινοκολπίτιδα

Abstract

OBJECTIVE:The study goal was to compare endoscopically guided middle meatal cultures withcultures of antral lavage aspirate in intensive care unit (ICU) patients with sinusitis.METHODS:Prospective study of febrile ICU patients seen for sinusitis at a tertiary medical center.RESULTS:Of 31 antral lavages performed in 18 patients, 19 lavages yielded purulent ormucopurulent aspirate. Endoscopically guided middle meatal cultures yielded the samepathogen, as did cultures of the lavage aspirate in 4 (21%) of these 19 cases. The antrallavage was negative (absence of purulent/mucopurulent aspirate) in 12 cases, and ofthose, 5 (42%) of the 12 middle meatal cultures showed no growth (sensitivity = 21%,specificity = 58%, chi(2)-1.52, P = 0.218).CONCLUSION:Endoscopically guided middle meatal cultures did not correlate well with cultures fromthe antral lavage aspirate in febrile ICU patients evaluated for sinusitis.