Considerations regarding the nasopharyngeal bacterial biofilm in pediatric patients

Considerations regarding the nasopharyngeal bacterial biofilm in pediatric patients

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Title:	Considerations regarding the nasopharyngeal bacterial biofilm in pediatric patients
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Article_Title:	Considerations regarding the nasopharyngeal bacterial biofilm in pediatric patients
Authors:	Assistant. Dr.TURCIN (BUGARI) Radmila-Anca1,3, Prof.Univ.Dr.Afilon JOMPAN1, Conf. Univ. Dr.Sorin BAȘCHIR1,2,3, Conf. Univ. Dr. Ciprian MIHALI1, Asit. Univ. Dr. Luminita TURCIN1,3, Asist.Univ.Dr.BANDICI Raluca1, Asist.Univ.TURCIN-HALKA Vesna- Roxana1, Asit.Univ. Dr.GOREA Flavia1, Asit.Univ.Drd Deme Paul1, Asist Univ.Drd Popescu Sebastian1
Affiliation:	Vasile Goldiș Western University of Arad1, ENT Clinic of Arad2 , Dr. Turcin Clinic of Arad3.
Abstract:	The main target of our study is to correlate the ratio of adenoid mucosa contaminated with bacterial biofilm in pediatric patients suffering of chronic rhinosinusitis (RSC) in comparison to pediatric patients diagnosed with obstructive sleep apnea syndrome (OSAS). We have estimated using s image analysis program the bacterial biofilm from the entire surface of the extracted adenoids, from 5 girls and 15 boys aged between 4 and 10 years; Adenoids extracted from pediatric patients diagnosed with CRS presented bacterial biofilms coating almost the entire mucosa (77.23% ), compared to 2.20% of bacterial biofilm coverage, at the pediatric patients with OSAS. The obtained difference is statistically significant. Polyps removed from patients with CSR have most of their mucosal covered with bacterial biofilm in comparison to the group with OSAS. In the nasopharynx of pediatric patients with CSR, bacterial biofilm can play the role of a chronic fountain of pathogens, adenoidectomy explains the symptomatic improvement observed in this group.
Keywords:	bacterial biofilm, scanning electron microscopy, adenoids, sleep apnea, chronic rhinosinusitis.
References:	Donlan RM, Biofilms: microbial life on surfaces. Emerg Infect Dis 2002;8881- 890; Stewart PS, Costerton JW, Antibiotic resistance of bacteria in biofilms. Lancet 2001;358135- 138; Ramadan HH, Sanclement JA, Thomas JG, Chronic rhinosinusitis and biofilms. Otolaryngol Head Neck Surg 2005;132414- 417; Costerton JW, Stewart PS, Greenberg EP, Bacterial biofilms: a common cause of persistent infections. Science 1999;2841318- 1326; Lewis K Riddle of biofilm resistance. Antimicrob Agents Chemother 2001;45999- 1007; Adappa ND, Coticchia JM, Management of refractory chronic rhinosinusitis in children. Am J Otolaryngol 2006;27384- 389; Vandenberg SJ, Heatley DG, Efficacy of adenoidectomy in relieving symptoms of chronic sinusitis in children. Arch Otolaryngol Head Neck Surg 1997;123675- 678; Characklis WG, Attached microbial growths, II: frictional resistance due to microbial slimes. Water Res 1973;71249- 1258; Sanclement JA., Webster P., Thomas J., Ramadan H.H. Bacterial biofilms in surgical specimens of patients with chronic rhinosinusitis. Laryngoscope 2005 Apr; 115(4):578-82; Edwin T., Marcelo BA, James NP Noam AC and Wilma TA.-L, Implications of Bacterial Biofilms in Chronic Rhinosinusitis, The Brazilian Journal of Infectious Diseases,2009; 13 (June), 232-235;
Read_full_article:	pdf/vol18/iss1/1 JMA 2015 – Bugari Radmila – Nasopharyngeal bacterial biofilm.pdf
Correspondence:	Bugari Radmila-Anca, “Vasile Goldiş” Western University of Arad, Faculty of Medicine, Department of Medicine, Dr. Turcin Clinic, Eftimie Murgu 52, Arad, Romania, Tel. 0730009962 email: radmila852001@yahoo.com

	Read full article
Article Title:	Considerations regarding the nasopharyngeal bacterial biofilm in pediatric patients
Authors:	Assistant. Dr.TURCIN (BUGARI) Radmila-Anca1,3, Prof.Univ.Dr.Afilon JOMPAN1, Conf. Univ. Dr.Sorin BAȘCHIR1,2,3, Conf. Univ. Dr. Ciprian MIHALI1, Asit. Univ. Dr. Luminita TURCIN1,3, Asist.Univ.Dr.BANDICI Raluca1, Asist.Univ.TURCIN-HALKA Vesna- Roxana1, Asit.Univ. Dr.GOREA Flavia1, Asit.Univ.Drd Deme Paul1, Asist Univ.Drd Popescu Sebastian1
Affiliation:	Vasile Goldiș Western University of Arad1, ENT Clinic of Arad2 , Dr. Turcin Clinic of Arad3.
Abstract:	The main target of our study is to correlate the ratio of adenoid mucosa contaminated with bacterial biofilm in pediatric patients suffering of chronic rhinosinusitis (RSC) in comparison to pediatric patients diagnosed with obstructive sleep apnea syndrome (OSAS). We have estimated using s image analysis program the bacterial biofilm from the entire surface of the extracted adenoids, from 5 girls and 15 boys aged between 4 and 10 years; Adenoids extracted from pediatric patients diagnosed with CRS presented bacterial biofilms coating almost the entire mucosa (77.23% ), compared to 2.20% of bacterial biofilm coverage, at the pediatric patients with OSAS. The obtained difference is statistically significant. Polyps removed from patients with CSR have most of their mucosal covered with bacterial biofilm in comparison to the group with OSAS. In the nasopharynx of pediatric patients with CSR, bacterial biofilm can play the role of a chronic fountain of pathogens, adenoidectomy explains the symptomatic improvement observed in this group.
Keywords:	bacterial biofilm, scanning electron microscopy, adenoids, sleep apnea, chronic rhinosinusitis.
References:	Donlan RM, Biofilms: microbial life on surfaces. Emerg Infect Dis 2002;8881- 890; Stewart PS, Costerton JW, Antibiotic resistance of bacteria in biofilms. Lancet 2001;358135- 138; Ramadan HH, Sanclement JA, Thomas JG, Chronic rhinosinusitis and biofilms. Otolaryngol Head Neck Surg 2005;132414- 417; Costerton JW, Stewart PS, Greenberg EP, Bacterial biofilms: a common cause of persistent infections. Science 1999;2841318- 1326; Lewis K Riddle of biofilm resistance. Antimicrob Agents Chemother 2001;45999- 1007; Adappa ND, Coticchia JM, Management of refractory chronic rhinosinusitis in children. Am J Otolaryngol 2006;27384- 389; Vandenberg SJ, Heatley DG, Efficacy of adenoidectomy in relieving symptoms of chronic sinusitis in children. Arch Otolaryngol Head Neck Surg 1997;123675- 678; Characklis WG, Attached microbial growths, II: frictional resistance due to microbial slimes. Water Res 1973;71249- 1258; Sanclement JA., Webster P., Thomas J., Ramadan H.H. Bacterial biofilms in surgical specimens of patients with chronic rhinosinusitis. Laryngoscope 2005 Apr; 115(4):578-82; Edwin T., Marcelo BA, James NP Noam AC and Wilma TA.-L, Implications of Bacterial Biofilms in Chronic Rhinosinusitis, The Brazilian Journal of Infectious Diseases,2009; 13 (June), 232-235;
*Correspondence:	Bugari Radmila-Anca, “Vasile Goldiş” Western University of Arad, Faculty of Medicine, Department of Medicine, Dr. Turcin Clinic, Eftimie Murgu 52, Arad, Romania, Tel. 0730009962 email: radmila852001@yahoo.com

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