Article Sidebar

PDF
Online Published: 05/07/2024
Abstract Views: 7
Views PDF: 0
DOI: https://doi.org/10.60137/tmhvn.v69i65.123
Issue
Vol. 69 No. 65 (2024)
Section
Articles
How to Cite
Tăng, X. H., Tran, M. L., & Bui, V. T. (2024). CLINICAL FEATURES AND BACTERIOLOGICAL CHARACTERISTICS OF ACUTE RHINOSINUSITIS IN CHILDREN AT NGHE AN OBSTETICS AND PEDIATRIC HOSPITAL. Vietnam Journal of Otorhinolaryngology - Head and Neck Surgery, 69(65). https://doi.org/10.60137/tmhvn.v69i65.123

CLINICAL FEATURES AND BACTERIOLOGICAL CHARACTERISTICS OF ACUTE RHINOSINUSITIS IN CHILDREN AT NGHE AN OBSTETICS AND PEDIATRIC HOSPITAL

Xuân Hải Tăng1, , Minh Long Tran1, Viet Tuan Bui1
1 Bệnh viện Sản Nhi Nghệ An

Main Article Content

Abstract

Objectives:



  1. Describe the clinical features of acute rhinosinusitis in children.

  2. To evaluate Bacteriological characteristics in children with acute rhinosinusitis.


Subjects - Methods: Cross-sectional descriptive study of 42 children diagnosed with acute rhinosinusitis according to the EPOS 2020 from 3/2022 – 9/2022. 


Results: 95.2% of pediatric patients have symptoms of runny nose. Most patients present with edema of the nasal mucosa, purulent fluid on the floor of the nose, and purulent fluid in the middle nasal cavity. Among them, white/yellow/green thick pus in the nostrils accounts for the highest proportion, and in some cases there is cloudy mucus pus in the nostrils. The rate of bacterial growth accounted for 54.8%. All specimens had only 1 strain of bacteria. The 3 most common bacterial species are: S. pneumonia, H. influenza and M. catarrhalis with a rate of 65.2% respectively; 17.4% and 13%. With the antibiotic amoxicillin + clavulanic acid, bacteria have a fairly high sensitivity of 75-100%. Cefuroxime and trimethoprim + sulfamethoxazole have low sensitivity in most bacterial groups.


Conclusions: Culturing and identifying bacteria in acute rhinosinusitis in children helps doctors guide the use of appropriate antibiotics for treatment.

Article Details

Keywords

Viêm mũi xoang cấp tính, trẻ em, vi khuẩn

References

1. Trương Xuân Bang (2017). Nghiên cứu đặc điểm lâm sàng, định danh vi khuẩn và kháng sinh đồ ở trẻ em viêm mũi xoang cấp tính mủ, Luận văn Thạc sỹ Y học, Trường Đại học Y Hà Nội; Trang 10-25.

2. Shoichi Sawada, Shigenor (2021). The Laryngoscope Matsubara. Microbiology of acute maxillary sinusitis in children. 2021;131(10): p.305-310.

3. Alexander KC Leung et al (2020). Drugs in Context Chu. Acute bacterial sinusitis in children: an updated review. (9): p.188-205.

4. Phillip R Purnell, Michele M Carr (2020). Microbiology of pediatric sinusitis.  Pediatric Rhinosinusitis: Springer; 2020. p.57-69.

5. Gregory P DeMuri, Jens C Eickhoff, et al (2019). Clinical Infectious Diseases Wald. Clinical and virological characteristics of acute sinusitis in children. 2019;69(10):1764-1770.

6. Ellen R Wald, Kimberly et al (2013). Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children aged 1 to 18 years. 2013;132(1): p.262-280.