SINUSITIS THERAPY FOR CHILDREN

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  • 小児副鼻腔炎の治療
  • USING ONE ANTRAL PUNCTURE AND IRRIGATION
  • 1回の上顎洞穿刺洗浄による

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1. Routine treatment of sinusitis in children using one antral puncture and irrigation, and examination of pituitous bacteria was carried out in 195 pediatric patients (122 boys and 73 girls, aged 3-15 years) between April and December, 1997.<br>2. This treatment was evaluated using nasal X-ray radiography conducted within 3 months after puncture when the patients noted no signs.<br>3. Of the 195 patients, 99 were kindergarten children (51%); and 153 were kindergarten or elementary students in the first to third grades (78%). Receiving treatment during this period, especially for kindergarten children, was considered to be important to their prognosis.<br>4. Among the 158 patients in whom a prognosis was confirmed, the symptoms disappered in 98 patients (62%), the condition was alleviated in 38 (24%), and the condition was unchanged in 22 (14%).<br>5. With respect to the prognosis for different causative bacteria, among the 103 patients in whom causative bacteria and a prognosis were found, 53 patients (51%) were infected by Haemophilus influenzae or Streptococcus pneumoniae, and 28 patients (27%) were infected by multiple bacteria, H. influenzae and S. pneumoniae. A poor prognosis (50%) was observed in patients who were infected by multiple bacteria, and in patients who were infected by β-lactamase (+) H. influenzae (25%).<br>6. Of these pediatric sinusitis cases, 87 (45%) were associated with acute otitis media or secretory otits media, and 8 (4%) were associated with asthma.

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