Η σημασία της έγκαιρης εργαστηριακής και κλινικής διερεύνησης ασθενών νοσηλευομένων σε μονάδα εντατικής θεραπείας που πάσχουν από ρινοκολπίτιδα
Evaluation of sinusitis in in the intensive care unit patient
Σκουλάς, Ιωάννης Γ
Χελιδώνης, Εμμανουήλ
Σοφράς, Φραγκίσκος
Σαμώνης, Γεώργιος
Βελεγράκης, Γεώργιος
Γκίκας, Αχιλλέας
Κοντάκης, Γεώργιος
Γεωργόπουλος, Δημήτρης
OBJECTIVE:
The study goal was to compare endoscopically guided middle meatal cultures with
cultures 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 or
mucopurulent aspirate. Endoscopically guided middle meatal cultures yielded the same
pathogen, as did cultures of the lavage aspirate in 4 (21%) of these 19 cases. The antral
lavage was negative (absence of purulent/mucopurulent aspirate) in 12 cases, and of
those, 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 from
the antral lavage aspirate in febrile ICU patients evaluated for sinusitis.
(EN)