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Bacteremia and Local Infections With Nasal Packing

Bacteremia and Local Infections With Nasal Packing Abstract Microbiological examination of the blood and nose was performed on 33 patients hospitalized with posterior epistaxis in order to determine the incidence of bacteremia and local bacterial growth associated with nasal packing. A local antibiotic regimen of oxytetracycline and polymyxin B was also evaluated. Two fairly distinct patterns of bacterial growth from the nose emerged. A single microorganism, most commonly gram-positive, was isolated from the nose of the patients treated with the local antibiotic regimen. Multiple gram-positive and gram-negative bacteria were found on nasal culture from patients without local antibiotics. Incidence of bacteremia was 12%; clinical septicemia and death occurred once. Lack of attention to these infectious complications of nasal packing could lead to serious additional morbidity. References 1. Conner HC, Haberman S, et al: Bacteremias following peridontal scaling in patients with health appearing gingiva . J Periodont 38:466-472, 1967. 2. Hirsh HL, Vivino JJ, Merril A, et al: Effect of prophylactically administered penicillin on incidence of bacteremia following extraction of teeth . Arch Intern Med 81:868-878, 1948.Crossref 3. Rhoads PS, Sibley JR, Billings CE: Bacteremia following tonsillectomy . JAMA 157:877-881, 1955.Crossref 4. Kotin P: Techniques and interpretation of routine blood cultures . JAMA 149:1273-1276, 1952.Crossref 5. Sieburth JM, McGinnis J, Skinner CE: The effect of terramycin on the antagonism of certain bacteria against species of Proteus . J Bact 64:163-168, 1952. 6. Haffner FD, Neter E, Rubin MI: Penicillin and its effect in producing a predominant gram-negative bacillary flora in upper respiratory tract of children . Pediatrics 6:262-267, 1950. 7. Weinstein L: The spontaneous occurrence of new bacterial infections during the course of treatment with streptomycin or penicillin . Amer J Med Sci 214:56-63, 1947.Crossref 8. Sprunt K, Redman W: Evidence suggesting importance of role of interbacterial inhibition in maintaining balance of normal flora . Ann Intern Med 68:579-590, 1968.Crossref 9. Louria DB, Kaminski T: The effects of four antimicrobial drug regimens on sputum superinfection in hospitalized patients . Amer Rev Resp Dis 85:649-665, 1962. 10. Myers DM: An antibiotic effect of viridans streptococci from the nose, throat, and sputum, and its inhibitory effect on Staphlococcus aureus . Amer J Clin Path 31:332-336, 1959. 11. Yow EM: Development of Proteus and Pseudomonas infections during antibiotic therapy . JAMA 149:1184-1188, 1952.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Bacteremia and Local Infections With Nasal Packing

Archives of Otolaryngology , Volume 94 (4) – Oct 1, 1971

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Publisher
American Medical Association
Copyright
Copyright © 1971 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1971.00770070509006
Publisher site
See Article on Publisher Site

Abstract

Abstract Microbiological examination of the blood and nose was performed on 33 patients hospitalized with posterior epistaxis in order to determine the incidence of bacteremia and local bacterial growth associated with nasal packing. A local antibiotic regimen of oxytetracycline and polymyxin B was also evaluated. Two fairly distinct patterns of bacterial growth from the nose emerged. A single microorganism, most commonly gram-positive, was isolated from the nose of the patients treated with the local antibiotic regimen. Multiple gram-positive and gram-negative bacteria were found on nasal culture from patients without local antibiotics. Incidence of bacteremia was 12%; clinical septicemia and death occurred once. Lack of attention to these infectious complications of nasal packing could lead to serious additional morbidity. References 1. Conner HC, Haberman S, et al: Bacteremias following peridontal scaling in patients with health appearing gingiva . J Periodont 38:466-472, 1967. 2. Hirsh HL, Vivino JJ, Merril A, et al: Effect of prophylactically administered penicillin on incidence of bacteremia following extraction of teeth . Arch Intern Med 81:868-878, 1948.Crossref 3. Rhoads PS, Sibley JR, Billings CE: Bacteremia following tonsillectomy . JAMA 157:877-881, 1955.Crossref 4. Kotin P: Techniques and interpretation of routine blood cultures . JAMA 149:1273-1276, 1952.Crossref 5. Sieburth JM, McGinnis J, Skinner CE: The effect of terramycin on the antagonism of certain bacteria against species of Proteus . J Bact 64:163-168, 1952. 6. Haffner FD, Neter E, Rubin MI: Penicillin and its effect in producing a predominant gram-negative bacillary flora in upper respiratory tract of children . Pediatrics 6:262-267, 1950. 7. Weinstein L: The spontaneous occurrence of new bacterial infections during the course of treatment with streptomycin or penicillin . Amer J Med Sci 214:56-63, 1947.Crossref 8. Sprunt K, Redman W: Evidence suggesting importance of role of interbacterial inhibition in maintaining balance of normal flora . Ann Intern Med 68:579-590, 1968.Crossref 9. Louria DB, Kaminski T: The effects of four antimicrobial drug regimens on sputum superinfection in hospitalized patients . Amer Rev Resp Dis 85:649-665, 1962. 10. Myers DM: An antibiotic effect of viridans streptococci from the nose, throat, and sputum, and its inhibitory effect on Staphlococcus aureus . Amer J Clin Path 31:332-336, 1959. 11. Yow EM: Development of Proteus and Pseudomonas infections during antibiotic therapy . JAMA 149:1184-1188, 1952.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Oct 1, 1971

References