Bacterial Flora of the Nose and Paranasal Sinuses Among Patients Over 65 Years Old with Chronic Rhinosinusitis Who Underwent Endoscopic Sinus Surgery

Joanna Leszczyńska,1 Grażyna Stryjewska-Makuch,1 Wojciech Ścierski,2 Grażyna Lisowska2 1Department of Laryngology and Laryngological Oncology, Upper Silesian Medical Centre of Silesian Medical University, Katowice, Poland; 2Department of Otorhinolaryngology and Laryngological Oncology, Medical Unive...

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Autores principales:	Leszczyńska J, Stryjewska-Makuch G, Ścierski W, Lisowska G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	sinusitis in elderly aging sinus culture bacterial sinusitis endoscopic sinus surgery Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/423cb6c34a254beaacc9ee2c25acecdd
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spelling	oai:doaj.org-article:423cb6c34a254beaacc9ee2c25acecdd2021-12-02T09:43:45ZBacterial Flora of the Nose and Paranasal Sinuses Among Patients Over 65 Years Old with Chronic Rhinosinusitis Who Underwent Endoscopic Sinus Surgery1178-1998https://doaj.org/article/423cb6c34a254beaacc9ee2c25acecdd2020-02-01T00:00:00Zhttps://www.dovepress.com/bacterial-flora-of-the-nose-and-paranasal-sinuses-among-patients-over--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Joanna Leszczyńska,1 Grażyna Stryjewska-Makuch,1 Wojciech Ścierski,2 Grażyna Lisowska2 1Department of Laryngology and Laryngological Oncology, Upper Silesian Medical Centre of Silesian Medical University, Katowice, Poland; 2Department of Otorhinolaryngology and Laryngological Oncology, Medical University of Silesia, Zabrze, PolandCorrespondence: Joanna LeszczyńskaDepartment of Laryngology and Laryngological Oncology, Upper Silesian Medical Centre of Silesian Medical University, ul. Ziołowa 45/47, Katowice 40-635, PolandTel/Fax +48 32 359 80 00Email Johnka@wp.plPurpose: Chronic rhinosinusitis (CRS) is one of the most common chronic diseases in the geriatric population. However, CRS inflammatory mechanisms in older people have not been thoroughly investigated. Our work aimed to analyze the bacterial flora of the nose and paranasal sinuses in patients with CRS over 65 years of age, including comorbidities, previously performed endoscopic sinus surgery (ESS), presence or absence of polyps and the extent of the inflammatory process.Patients and Methods: The study involved 529 patients between 18 and 84 years of age with chronic rhinosinusitis who underwent endoscopic sinus surgery. There were 101 patients separated over 65 years of age (M = 52, K = 49, mean age 69 ± 0.7 years). The control group consisted of 168 patients aged 18– 40 years with CRS. The bacterial culture of material collected from the patients during ESS was analyzed.Results: In the group of patients over 65 years of age, more frequent occurrence of Proteus spp. and Pseudomonas aeruginosa was found in comparison to younger patients. In older patients with bronchial asthma, the occurrence of S. aureus, Escherichia coli, and Citrobacter spp. was more frequent than in control group. Multiple sinus surgical procedures in older patients were associated with the dominance of Staphylococcus aureus and Escherichia coli, which was not demonstrated in the control group. There were no statistically significant differences between the occurrence of bacterial strain and the presence of polyps, both in the group of patients over 65 years of age as well as in the control group.Conclusion: The bacterial flora of patients with CRS is different in older and younger patients. A different therapeutic approach should be considered in older patients with CRS, but this problem requires further studies.Keywords: sinusitis in elderly, aging, sinus culture, bacterial sinusitis, endoscopic sinus surgeryLeszczyńska JStryjewska-Makuch GŚcierski WLisowska GDove Medical Pressarticlesinusitis in elderlyagingsinus culturebacterial sinusitisendoscopic sinus surgeryGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 207-215 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	sinusitis in elderly aging sinus culture bacterial sinusitis endoscopic sinus surgery Geriatrics RC952-954.6
spellingShingle	sinusitis in elderly aging sinus culture bacterial sinusitis endoscopic sinus surgery Geriatrics RC952-954.6 Leszczyńska J Stryjewska-Makuch G Ścierski W Lisowska G Bacterial Flora of the Nose and Paranasal Sinuses Among Patients Over 65 Years Old with Chronic Rhinosinusitis Who Underwent Endoscopic Sinus Surgery
description	Joanna Leszczyńska,1 Grażyna Stryjewska-Makuch,1 Wojciech Ścierski,2 Grażyna Lisowska2 1Department of Laryngology and Laryngological Oncology, Upper Silesian Medical Centre of Silesian Medical University, Katowice, Poland; 2Department of Otorhinolaryngology and Laryngological Oncology, Medical University of Silesia, Zabrze, PolandCorrespondence: Joanna LeszczyńskaDepartment of Laryngology and Laryngological Oncology, Upper Silesian Medical Centre of Silesian Medical University, ul. Ziołowa 45/47, Katowice 40-635, PolandTel/Fax +48 32 359 80 00Email Johnka@wp.plPurpose: Chronic rhinosinusitis (CRS) is one of the most common chronic diseases in the geriatric population. However, CRS inflammatory mechanisms in older people have not been thoroughly investigated. Our work aimed to analyze the bacterial flora of the nose and paranasal sinuses in patients with CRS over 65 years of age, including comorbidities, previously performed endoscopic sinus surgery (ESS), presence or absence of polyps and the extent of the inflammatory process.Patients and Methods: The study involved 529 patients between 18 and 84 years of age with chronic rhinosinusitis who underwent endoscopic sinus surgery. There were 101 patients separated over 65 years of age (M = 52, K = 49, mean age 69 ± 0.7 years). The control group consisted of 168 patients aged 18– 40 years with CRS. The bacterial culture of material collected from the patients during ESS was analyzed.Results: In the group of patients over 65 years of age, more frequent occurrence of Proteus spp. and Pseudomonas aeruginosa was found in comparison to younger patients. In older patients with bronchial asthma, the occurrence of S. aureus, Escherichia coli, and Citrobacter spp. was more frequent than in control group. Multiple sinus surgical procedures in older patients were associated with the dominance of Staphylococcus aureus and Escherichia coli, which was not demonstrated in the control group. There were no statistically significant differences between the occurrence of bacterial strain and the presence of polyps, both in the group of patients over 65 years of age as well as in the control group.Conclusion: The bacterial flora of patients with CRS is different in older and younger patients. A different therapeutic approach should be considered in older patients with CRS, but this problem requires further studies.Keywords: sinusitis in elderly, aging, sinus culture, bacterial sinusitis, endoscopic sinus surgery
format	article
author	Leszczyńska J Stryjewska-Makuch G Ścierski W Lisowska G
author_facet	Leszczyńska J Stryjewska-Makuch G Ścierski W Lisowska G
author_sort	Leszczyńska J
title	Bacterial Flora of the Nose and Paranasal Sinuses Among Patients Over 65 Years Old with Chronic Rhinosinusitis Who Underwent Endoscopic Sinus Surgery
title_short	Bacterial Flora of the Nose and Paranasal Sinuses Among Patients Over 65 Years Old with Chronic Rhinosinusitis Who Underwent Endoscopic Sinus Surgery
title_full	Bacterial Flora of the Nose and Paranasal Sinuses Among Patients Over 65 Years Old with Chronic Rhinosinusitis Who Underwent Endoscopic Sinus Surgery
title_fullStr	Bacterial Flora of the Nose and Paranasal Sinuses Among Patients Over 65 Years Old with Chronic Rhinosinusitis Who Underwent Endoscopic Sinus Surgery
title_full_unstemmed	Bacterial Flora of the Nose and Paranasal Sinuses Among Patients Over 65 Years Old with Chronic Rhinosinusitis Who Underwent Endoscopic Sinus Surgery
title_sort	bacterial flora of the nose and paranasal sinuses among patients over 65 years old with chronic rhinosinusitis who underwent endoscopic sinus surgery
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/423cb6c34a254beaacc9ee2c25acecdd
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Bacterial Flora of the Nose and Paranasal Sinuses Among Patients Over 65 Years Old with Chronic Rhinosinusitis Who Underwent Endoscopic Sinus Surgery

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