The Aerobic-Anaerobic Bacteria Pattern and its Sensitivity Pattern in Chronic Rhinosinusitis Patients, in Medan, Indonesia
Date
2018Author
Lubis, Adrian Kadafi
Munir, Delfitri
Nursiah, Siti
Kusumawati, R. Lia
Eyanoer, Putri Chairani
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Background: Rhinosinusitis is one of the most concerning illness due
to high medical cost and its negative effect on the respiratory tract.
The etiology of chronic rhinosinusitis remains unknown. The main
cause of chronic rhinosinusitis with or without nasal polyp is bacterial
infections; thus antibiotics remain a main therapeutic intervention.
Prescription of broad spectrum antibiotics and the inappropriate
combination of antibiotics are the main factors of antibiotic resistance.
This study aims to obtain the pattern of aerobic and anaerobic bacteria
in chronic rhinosinusitis patient (with or without nasal polyp) and its
sensitivity pattern, in Medan, Indonesia.
Methods: This is a case series. Samples were patient with chronic
rhinosinusitis who had undergone functional endoscopic sinus surgery
(FESS).
Results: The most common aerobic bacteria found is Klebsiella
oxytoca (21.7%), and it is sensitive to ceftriaxone, cefotaxime,
levofloxacin, and meropenem. While for the anaerobic bacteria,
one patient was positive for Peptostreptococcus and it is sensitive to
chloramphenicol.
Conclusion: The most common bacteria in the maxilla in patients
with chronic Rhinosinusitis with and without polyps in Medan
are the aerobic bacteria Klebsiella oxytoca and anaerobic bacteria
Peptostreptococcus. It is suggested that the antibiotic prescribed should
be based on microbiology examination.