Zahra Durrani, Muhammad Naeem, Maroof Aziz Khan.
Assessment of Bacterial Infection in Pts Operated for Complication of Fungal Rhinosinusitis.
Pak J Med Health Sci Jan ;12(1):153-6.

Aim : To study bacteriology in operated patients diagnosed with chronic fungal rhinosinusitis. Duration of Study: One year (March 2016 to February 2017) Study Setting: Department of ENT, Mayo Hospital, Lahore Study Design: Cross sectional prospective Sample Size: 50 patients Method: All patients with CRS with suspected fungal infection on radiological investigations were included in study after informed consent. Different surgical procedures like, FESS, Caldwell luc, Transantral ethmoidectomy and External ethmoidectomy done to treat The complications of fungal rhinosinusitis. Samples from sinus secretions collected for fungal staining, aerobic and anaerobic culture peroperatively. Those patients who were fungal staining positive were included in this study and bacteriology documented for each case after culture report. Those patients who were fungal negative were excluded from study. Results : In chronic fungal rhinosinusitis aerobic bacteria were involved in more than half of patients . Eighty two percent patients of fungal rhinosinusitis were suffering from bacterial infection and only eighteen percent were negative for any bacterial infection. Haemophilus influenza were most common aerobic bacteria suffered 22 % out of 50 patients diagnosed with fungal rhinosinusitis. Proteus mirabilis affect ed least (02% ) patients. Anaerobic bacteria, Peptostreptococucus spp and Fusobacterium each were found in four percent of patients . Conclusion: Chronic fungal rhinosinusitis is a polymicrobial phenomenon. While treating fungal rhinosinusitis concurrent bacterial infection should be investigated and treated accordingly. While dealing fungal infection postoperatively, bacterial infection should be kept in mind and measures should be taken to prevent recurrence of disease.

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