Bacteriology of Acute and Chronic Frontal Sinusitis | Infectious Diseases | JAMA Otolaryngology–Head & Neck Surgery | JAMA Network
[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Navigation Landing]
Antila  JSuonpaa  JLehtonen  OP Bacteriological evaluation of 194 adult patients with acute frontal sinusitis and findings of simultaneous maxillary sinusitis.  Acta Otolaryngol Suppl.1997;529:162-164.Google Scholar
Ruoppi  PSeppa  JNuutinen  J Acute frontal sinusitis: etiological factors and treatment outcome.  Acta Otolaryngol.1993;113:201-205.Google Scholar
Suonpaa  JAntila  J Increase of acute frontal sinusitis in southwestern Finland.  Scand J Infect Dis.1990;22:563-568.Google Scholar
Moon  TLin  RYJahn  AF Fatal frontal sinusitis due to Neisseria sicca and Eubacterium lentum J Otolaryngol.1986;15:193-195.Google Scholar
Brook  IFriedman  EMRodriguez  WJControni  G Complications of sinusitis in children.  Pediatrics.1980;66:568-572.Google Scholar
Brook  I Bacteriologic features of chronic sinusitis in children.  JAMA.1981;246:967-969.Google Scholar
Summanen  PBarron  EJCitron  DMStrong  CWexler  HMFinegold  SM Wadsworth Anaerobic Bacteriology Manual. 5th ed. Belmont, Calif: Star Publishing; 1993.
Murray  PRBaron  EJPfaller  MATenover  FCYolken  RH Manual of Clinical Microbiology. 6th ed. Washington, DC: American Society for Microbiology; 1995.
O'Callaghan  DHMorris  AKirby  SMShingler  AH Novel method for detection of beta-lactamase by using a chromogenic cephalosporin substrate.  Antimicrob Agents Chemother.1972;1:283-288.Google Scholar
Frederick  JBraude  AI Anaerobic infection of the paranasal sinuses.  N Engl J Med.1974;290:135-137.Google Scholar
Brook  I Bacteriology of chronic maxillary sinusitis in adults.  Ann Otol Rhinol Laryngol.1989;98:426-428.Google Scholar
Nord  CE The role of anaerobic bacteria in recurrent episodes of sinusitis and tonsillitis.  Clin Infect Dis.1995;20:1512-1524.Google Scholar
Drettner  BLindholm  CE The borderline between acute rhinitis and sinusitis.  Acta Otolaryngol (Stockh).1967;64:508-513.Google Scholar
Carenfelt  CLundberg  C Purulent and non-purulent maxillary sinus secretions with respect to pO2, pCO2 and pH.  Acta Otolaryngol (Stockh).1977;84:138-144.Google Scholar
Aust  RDrettner  B Oxygen tension in the human maxillary sinus under normal and pathological conditions.  Acta Otolaryngol (Stockh).1974;78:264-269.Google Scholar
Carenfelt  C Pathogenesis of sinus empyema.  Ann Otol Rhinol Laryngol.1979;88:16-20.Google Scholar
Original Article
May 2002

Bacteriology of Acute and Chronic Frontal Sinusitis

Author Affiliations

From the Department of Pediatrics, Georgetown University School of Medicine, Washington, DC.

Arch Otolaryngol Head Neck Surg. 2002;128(5):583-585. doi:10.1001/archotol.128.5.583

Aspirates of 15 acutely and 13 chronically infected frontal sinuses were processed for aerobic and anaerobic bacteria. A total of 20 isolates (1.3 per specimen) were recovered from the 15 cases of acute frontal sinusitis, 16 aerobic and facultative isolates (1.1 per specimen) and 4 anaerobic isolates (0.3 per specimen). Aerobic and facultative organisms alone were recovered in 13 specimens (87%), and mixed aerobic and anaerobic bacteria were recovered in 2 (13%). The predominant aerobic and facultative organisms were Haemophilus influenzae (6), Streptococcus pneumoniae (5), and Moraxella catarrhalis (3). A total of 32 isolates were recovered from the 13 cases (2.5 per patient) of chronic frontal sinusitis, 12 aerobic and facultative isolates (0.9 per specimen) and 20 anaerobic isolates (1.5 per specimen). Aerobic and facultative organisms only were recovered in 3 instances (23%), anaerobes only in 7 instances (54%), and mixed aerobic and anaerobic bacteria in 3 instances (23%). The predominant aerobic bacteria were gram-negative bacilli (H influenzae, Klebsiella pneumoniae, and Pseudomonas aeruginosa). The predominant anaerobes included Prevotella species (8), Peptostreptococcus species (6), and Fusobacterium species (4). These findings illustrate the microbiologic features of acute and chronic frontal sinusitis.