There has been almost universal disregard of the staphylococcus as a potential pathogen in the nose, pharynx and bronchi, in spite of the high percentage of staphylococci reported in the numerous bacteriologic studies made of these regions.
Attention has been so focused on streptococci, pneumococci, influenza bacilli, fungi and spirochetal organisms that the staphylococcus has come to be regarded as a common, nonpathogenic inhabitant of these areas and its presence ignored.
Cultures of material from the spheno-ethmoid region of sixty-four patients with chronic low grade sinus infection revealed that hemolytic staphylococci were found forty-eight times (an incidence of 75 per cent), nonhemolytic staphylococci forty-six times (an incidence of 72 per cent), Streptococcus viridans once, hemolytic streptococci once, nonhemolytic streptococci four times, type II pneumococci once, type IV pneumococci five times, Bacillus influenzae three times, Micrococcus catarrhalis four times and, among nonpathogenic bacteria, Bacillus xerosis ten times, Bacillus Hofmanni eleven times,
FLETCHER D. WOODWARD. THE STAPHYLOCOCCUS IN RELATION TO SINUSITIS, BRONCHITIS AND BRONCHIECTASIS. Arch Otolaryngol. 1936;24(6):753–757. doi:10.1001/archotol.1936.00640050768007