Concordance of Middle Meatal Swab and Maxillary Sinus Aspirate in Acute and Chronic Sinusitis: A Meta-Analysis
| Autor: | Charles S. Coffey, Brent A. Senior, Charles S. Ebert, Christopher T. Melroy, Robert E. Sonnenburg, Marc G. Dubin |
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| Rok vydání: | 2005 |
| Předmět: |
Rhinology
medicine.medical_specialty Maxillary sinus medicine.diagnostic_test business.industry Concordance Chronic sinusitis Dentistry Surgery Endoscopy 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Chronic disease Otorhinolaryngology 030220 oncology & carcinogenesis Meta-analysis medicine Coagulase 030223 otorhinolaryngology business |
| Zdroj: | American Journal of Rhinology. 19:462-470 |
| ISSN: | 1539-6290 1050-6586 |
| DOI: | 10.1177/194589240501900508 |
| Popis: | Background The medical management of acute and chronic sinusitis is a therapeutic challenge. The use of endoscopic middle meatal cultures as a noninvasive method to determine the bacteriology of the maxillary sinus has not accurately been established. The aim of this study was to review the literature that compares cultures obtained by endoscopic middle meatal swabs with those obtained from maxillary sinus aspirates (MSAs). Methods We reviewed studies published between January 1966 and October 2003 that were identified from searches of multiple databases, bibliographies, and original articles. Studies were included for analysis if they compared the results of endoscopic middle meatal cultures to aspirate cultures. All clinical variables and test performances were independently extracted by two reviewers. Results Middle meatal culture had a per isolate accuracy of 82% (95% confidence interval, 0.64, 0.92) compared with MSA (excluding coagulase negative staphylococcus and fungal cultures). Conclusion Endoscopic middle meatal cultures have a high concordance with MSAs. |
| Databáze: | OpenAIRE |
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