Objectives: This study was conducted to investigate
the predisposing factors and bacteriologic agents of
acute rhinosinusitis in children.
Patients and Methods: The study included 76 patients
(47 girls, 29 boys; mean age 10.2 years; range 4 to 18 years)
with acute rhinosinusitis. Following a detailed history, the
patients were investigated by otolaryngologic examination
including nasal endoscopy, allergy tests, Water's graphy,
and aspiration cultures from the middle meatal region.
Results: The leading complaints were nasal obstruction
(92.1%), rhinorrhea (89.4%), and headache (51.3%).
Allergy tests were positive in nine of 23 patients (30.3%)
with a history of allergy. Concerning smoking, 39 patients
(51.3%) had a secondary, two patients (2.6%) had a primary
history. Sixteen patients (21.1%) had septal deviation,
and 25 patients (32.9%) had benign adenoid tissue
obstructing choanal spaces. Waters graphies showed
pathology in 69 patients (93.2%). Cultures were positive
in 51 patients (67.1%), with Streptococcus pneumoniae
in 23 (41.1%), Haemophilus influenzae in 17 (30.4%),
and beta-hemolytic streptococci in eight patients (14.2%).
Treatment was comprised of ampicillin-sulbactam in 31
(40.8%), loracarbef in 20 (26.3%), and amoxicillin-clavulanate
in 13 (17.1%) patients. After a year follow-up,
recurrence was detected in 12 patients (15.8%). No significant
effect of the size of adenoid tissue and allergy
was found on the success of treatment (p>0.05).
Conclusion: Smoking, choanal obstruction by the adenoid
tissue, anatomical variations, and allergy were the
most frequent predisposing factors, while S. pneumoniae
and H. influenzae were the commonest pathogens.
FREE FULL TEXTAnahtar Kelimeler: Anti-bakteriyel ajanlar/terapötik kullanım; çocuk; hipersensitivite; rinit, alerjik, perennial/tedavi;sinüzit/tedavi; Streptokok enfeksiyonları/tedavi.