[Nosocomial sinusitis in an intensive care unit: a microbiological study].

Autor:	Balsalobre Filho LL; Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Universidade Federal de São Paulo, São Paulo., Vieira FM, Stefanini R, Cavalcante R, Santos Rde P, Gregório LC
Jazyk:	portugalština
Zdroj:	Brazilian journal of otorhinolaryngology [Braz J Otorhinolaryngol] 2011 Jan-Feb; Vol. 77 (1), pp. 102-6.
Abstrakt:	Unlabelled: Nosocomial sinusitis is a common complication of patients in ICUs. Its diagnosis is important, and early treatment is required to avoid serious complications such as pneumonia, sepsis, meningitis, and intracranial abscesses. Aim: To identify the germs causing sinusitis in ICUs by nasal swabs and maxillary sinus puncture, and to correlate these results. Methods: ICU patients with a diagnosis (CT confirmed) of maxillary sinusitis underwent nasal swab and puncture of the sinus to collect material for culture and antibiogram. Results: This study evaluated 22 patients. The microbial agent isolated in the swab correlated with the agent in the puncture in 14 of 22 cases (63%). Gram-negative bacteria were the most frequent, as follows: Pseudomonas aeruginosa (29% of punctures), following by Proteus mirabillis (26%) and Acinetobacter baumanni (14%). The resistance index in the antibiogram was high to antibiotics. Conclusion: Maxillary sinus puncture of ICU patients with sinusitis appears to be the best method for identifying bacteria; antibiograms demonstrate resistance to therapy. The swab has little diagnostic value; the correlation was 63%. It may be used when sinus puncture is contraindicated.
Databáze:	MEDLINE
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