Bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital

Authors: Kamau JK, Macharia IM, Odhiambo PA.
Abstract
OBJECTIVE:
To determine the bacteriology and antibiotic sensitivity of the bacterial isolates in chronic
maxillary sinusitis patients seen at the Kenyatta National Hospital.
DESIGN:
Cross-sectional study.
SETTING:
Kenyatta National Hospital, ENT department.
SUBJECTS AND METHODS:
Seventy-three patients had bilateral sntral washout done and the lavage submitted for culture
and anti-microbial sensitivity between January and June 1996.
RESULTS:
Antral lavage yielded secretions in 63% of patients but bacteria were cultured in only 28.8% of
the specimens. The isolates included Streptococcus pneumonia (22.2%), Staphylocococus albus
(18.5%), Staphylocococus aureus (11.1%) and Enterobactericiae (11.1%). Anaerobic bacteria
were cultured in 22.2% of the specimens. Of the commonly used antibiotics, there was high
sensitivity to erythromycin, cefadroxyl, chloramphenicol and amoxicillin and poor sensitivity to
ampicillin, cotrimoxazole and perfloxacin.
CONCLUSION:
The bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital is generally similar
to that found elsewhere. The bacteria are susceptible to relatively affordable antibiotics like
amoxicillin, erythromycin and cefadroxyl.


East Afr Med J. 2001 Jul;78(7):343-5. PubMed PMID: 1195725

Download Abstract [PDF]