Johns Hopkins ABX Guide
Sinusitis (Rhinosinusitis)--Subacute/Chronic
Sinusitis (Rhinosinusitis)--Subacute/Chronic is a topic covered in the Johns Hopkins ABX Guide.
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PATHOGENS
- Bacteriology of chronic sinusitis less well defined than acute sinusitis [that is typically caused by Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis].
- A multifactorial disease that aside from infection is thought to result from genetics, environmental or occupational exposures, allergy, immunodeficiencies.
- Acute exacerbations of chronic sinusitis may be caused by typical respiratory pathogens noted above.
- Polymicrobial flora typically found if sinuses are cultured
- Gram-negative organisms increased and possibly anaerobes.
- Pseudomonas aeruginosa, Staphylococcus aureus more common in nosocomial and immunocompromised infections.
- Controversy exists over the role of fungi in chronic sinusitis.
- The suggestion that fungal elements may be inciting an eosinophil-mediated immune response in sinonasal mucosa.
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Last updated: September 5, 2019
Citation
Auwaerter, Paul G, and Andrew Victores. "Sinusitis (Rhinosinusitis)--Subacute/Chronic." Johns Hopkins ABX Guide, The Johns Hopkins University, 2019. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540505/all/Sinusitis__Rhinosinusitis___Subacute_Chronic.
Auwaerter PG, Victores A. Sinusitis (Rhinosinusitis)--Subacute/Chronic. Johns Hopkins ABX Guide. The Johns Hopkins University; 2019. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540505/all/Sinusitis__Rhinosinusitis___Subacute_Chronic. Accessed December 14, 2019.
Auwaerter, P. G., & Victores, A. (2019). Sinusitis (Rhinosinusitis)--Subacute/Chronic. In Johns Hopkins ABX Guide. Available from https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540505/all/Sinusitis__Rhinosinusitis___Subacute_Chronic
Auwaerter PG, Victores A. Sinusitis (Rhinosinusitis)--Subacute/Chronic [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2019. [cited 2019 December 14]. Available from: https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540505/all/Sinusitis__Rhinosinusitis___Subacute_Chronic.
* Article titles in AMA citation format should be in sentence-case
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T1 - Sinusitis (Rhinosinusitis)--Subacute/Chronic
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AU - Victores,Andrew,M.D.
Y1 - 2019/09/05/
BT - Johns Hopkins ABX Guide
UR - https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540505/all/Sinusitis__Rhinosinusitis___Subacute_Chronic
PB - The Johns Hopkins University
DB - Pediatrics Central
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