급성 세균성 부비동염과 관련된 가장 흔한 세균은 Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis이며 앞의 2개가 약 75 %를 차지합니다.
The most common bacteria associated with ABRS are Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis, with the first two comprising approximately 75 percent of cases of ABRS. When ABRS is due to extension of dental root infection into the sinus cavity, microaerophilic and anaerobic bacteria may be identified. ABRS is typically caused by a single pathogen in high concentration, although two distinct pathogens in high concentrations are isolated in approximately 25 percent of patients
Distribution of pathogens in acute bacterial rhinosinusitis
|
Pathogen |
Incidence (%) |
|
Streptococcus pneumoniae |
20 to 43 |
|
Haemophilus influenzae |
22 to 36 |
|
Moraxella catarrhalis |
2 to 16 |
|
Staphylococcus aureus |
10 to 13 |
|
Streptococcus pyogenes |
3 |
Data from:
Hadley JA, Mosges R, Desrosiers M, et al. Moxifloxacin five-day therapy versus placebo in acute bacterial rhinosinusitis. Laryngoscope 2010; 120:1057.
Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, et al. Clinical practice guideline (update): Adult sinusitis. Otolaryngol Head Neck Surg 2015; 152:S1.
REF. UpToDate 2019.06.18
