Abstract
1. Routine treatment of sinusitis in children using one antral puncture and irrigation and examination of pituitous bacteria were performed for 195 pediatic patients (122 boys and 73 girls, aged 3-15 years) and 145 adult patients with acute sinusitis (61 men and 84 women, aged 15-70 years).2. There was little difference in causative bacteria or prognosis between sinusitis in children and acute sinusitis in adults.3. More than half of the adult patients with acute sinusitis lived with children below third grade in elementary school. We therefore suspected that the adult patients with acute sinusitis had been infected by children with sinusitis in their family.4. Of the 103 pediatric patients for whom causative bacteria and a prognosis could be determined, 28 (27%) were infected by multiple bacteria, both Haemophilus influenzae and Streptococcus pneumoniae. There were no adult patients with acute sinusitis infected by multiple bacteria. Of the pediatric sinusitis patients, many had acute or secretory otitis media, accompanied by cough while few adult acute sinusitis patients had these symptoms.5. The pathogenesis of sinusitis in children was mainly considered acute.
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