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BACTERIOLOGY OF CHRONIC MAXILLARY SINUSITIS AT KEI (JYATTA NATIONAL HOSPITAL, NAIROBI
Abstract
Objective: To determine the bacteriology and antibiotic sensitivity of the bacterial isolates in
chronic maxillary sinusitis patients seen at the Kenyatta Natic nal Hospital.
Design: Cross-sectional study
Setting: Kenyatta National Hospital, ENT department.
Subjects and methods: Seventy-three patients had bilateral s ntral washout done and the
lavage submitted for culture and anti-microbial sensitivity bet1 veen January and June 19%.
Results: Antral lavage yielded secretions in 63% of patients but bacteria were cultured in
only 28.8% of the specimens. The isolates included Strept~coccus pileumonk (22.2%),
Staphyloccocus albus (18.5 % ), Staphyloccocus aureus (1 1.1 % )a ~d Enterobactericiae (1 1.1 % ).
Anaerobic bacteria were cultured in 22.2% of the specim,:ns. Of the commonly used
antibiotics, there was high sensitivity to erythromycin, cefaclroxyl, chloramphenicol and
amoxicillin and poor sensitivity to ampicillin, cotrimoxazole i ud perfloxacin.
Conclusion: The bacteriology of chronic maxillary sinusitis at Lenyatta National Hospital is
generally similar to that found elsewhere. The bacteria are susct :ptible to relatively affordable
antibiotics like amoxicillin, erythromycin and cefadroxyl.
chronic maxillary sinusitis patients seen at the Kenyatta Natic nal Hospital.
Design: Cross-sectional study
Setting: Kenyatta National Hospital, ENT department.
Subjects and methods: Seventy-three patients had bilateral s ntral washout done and the
lavage submitted for culture and anti-microbial sensitivity bet1 veen January and June 19%.
Results: Antral lavage yielded secretions in 63% of patients but bacteria were cultured in
only 28.8% of the specimens. The isolates included Strept~coccus pileumonk (22.2%),
Staphyloccocus albus (18.5 % ), Staphyloccocus aureus (1 1.1 % )a ~d Enterobactericiae (1 1.1 % ).
Anaerobic bacteria were cultured in 22.2% of the specim,:ns. Of the commonly used
antibiotics, there was high sensitivity to erythromycin, cefaclroxyl, chloramphenicol and
amoxicillin and poor sensitivity to ampicillin, cotrimoxazole i ud perfloxacin.
Conclusion: The bacteriology of chronic maxillary sinusitis at Lenyatta National Hospital is
generally similar to that found elsewhere. The bacteria are susct :ptible to relatively affordable
antibiotics like amoxicillin, erythromycin and cefadroxyl.
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