Introduction
Acute Bacterial Rhinosinusitis (ABRS) can lead to serious orbital and intracranial complications in children. This study evaluates the reliability of Middle Meatus Cultures (MMCx) and Blood Cultures (BCx) in predicting bacterial infections in pediatric patients undergoing endoscopic sinus surgery (ESS).
Key Findings📌 Study Population: 78 pediatric patients with ABRS requiring surgery
📌 Complications Observed:
- 34.6% intracranial complications
- 78.2% orbital complications (48.7% orbital cellulitis, 38.4% subperiosteal abscess)
📌 Culture Accuracy:
- ✅ MMCx correlated with surgical cultures (60%)
- ❌ BCx showed low correlation (5.5%)
🔬 Staphylococcus aureus on MMCx was a strong predictor of infection (p = 0.009), while 87% of blood cultures had no bacterial growth, making them unreliable.
Why MMCx is More Reliable Than Blood Cultures- Stronger correlation with surgical cultures
- More accurate for tailoring antibiotic therapy
- Helps prevent unnecessary antibiotic use
➡️ Read: Best Antibiotics for Sinus Infections in Children
ConclusionMiddle Meatus Cultures (MMCx) are a reliable diagnostic tool for pediatric ABRS treatment, outperforming blood cultures in predicting bacterial infections and guiding antibiotic therapy.
📌 Takeaways:
✔ MMCx is a strong predictor of bacterial infection
✔ Blood cultures are unreliable for pediatric ABRS
✔ Using MMCx improves treatment precision
Content Details:-
Corresponding author: Michael Lichtenberg**
Full Length Article: Safety And Efficacy Analysis of The Clottriever CatheterSystem in Acute and Subacute Iliofemoral Deep VeinThrombosis Treatment
Journal: Austin Journal of Vascular Medicine
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