Significance of Streptococcus milleri in acute rhinosinusitis with complications.
OBJECTIVE
To assess the significance of Streptococcus milleri in acute rhinosinusitis with complications.


METHODS
A retrospective case note review was undertaken of in-patients at both the Red Cross Children's Hopital and the Groote Schuur Hospital (for adults), Cape Town, South Africa, between 1999 and 2003, with a diagnosis of acute rhinosinusitis with complications. The following were documented: age, gender, complications, organisms cultured and their sensitivity, type and number of operations, and length of hospital stay.


RESULTS
Seventy-one case notes were reviewed, for 30 female and 41 male patients, representing 38 adults and 33 children. Streptococcus milleri was the most commonly implicated organism (52.1 per cent; 37/71). Patients from whom this organism was isolated tended to require more than one operative procedure, and had a protracted hospital stay.
Rankhethoa
N M
NM
Division of Otolaryngology, Groote Schuur Hospital, Observatory, Cape Town, South Africa. nrankhet@absamail.co.za
Prescott
C A J
CA
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D012220:Rhinitis / Q000382:microbiology* / Q000601:surgery; D012852:Sinusitis / Q000382:microbiology* / Q000601:surgery; D013019:South Africa; D018709:Statistics, Nonparametric; D013290:Streptococcal Infections / Q000382:microbiology* / Q000601:surgery; D034364:Streptococcus milleri Group / Q000302:isolation & purification*