Microbiological profile in chronic rhinosinusitis patients in a rural hospital of India

Abstract

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Chronic rhinosinusitis is one of the most common health problem a detailed microbiological profile of which is necessary to guide its proper management. The aim of this study was to identify the microbial pattern present in chronic rhinosinusitis (CRS) patients undergoing functional endoscopic sinus surgery at a rural tertiary care hospital in India. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A prospective study was done in ENT department of MGIMS, Sewagram over a period of 2 years. A total of 94 patients were included in the study. They were clinically diagnosed to have chronic sinusitis and confirmation was done by CT imaging of paranasal sinuses. During FESS, sinus secretions were aspirated and were subjected to bacterial and fungal culture. Bacterial and Fungal pathogens were identified according to the standard protocol. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">In the 94 patients, the mean age was 33.44 years and Male female ratio was 1.08: 1. <em>Staphylococcus</em> was the commonest organism isolated in 54 cases (57.4%) followed by <em>Streptococcus pneumoniae</em> in 5 cases (5.3%), <em>Klebsiella</em> in 1 case (1.1%), <em>E.coli</em> in 1 case (1.1%) and <em>Pseudomonas aerogenosa</em> in 1 case (1.1%).Fungus (Aspergillus niger) was isolated in 2 patients (2.1%) and no pathogens were found in 30 (31.9%) patients. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">In CRS bacterial etiology is the commonest.</span></p>