Preview

Acta Biomedica Scientifica

Advanced search

Mucociliary clearance and microbiota of the nasal passages, sinuses in patients with chronic rhinosinusitis associated with gastroesophageal reflux disease

https://doi.org/10.12737/article_590823a47345c8.15562147

Abstract

The aim of our investigation was to estimate the mucociliary clearance (MC), the spectrum of bacterial communities discharged from the middle meatus and sinus aspirates in patients with chronic rhinosinusitis (CRS) associated with gastroesophageal reflux disease (GERD), patients with CRS without GERD and healthy volunteers. The study included 30 patients with CRS and GERD, 34 patients without GERD аnd 30 healthy volunteers. Association with CRS and GERD was characterized by statistically significant slowing of MC and quantitative and qualitative changing of characteristics of the nasal mucosa microflora, but not of the paranasal sinuses. In the group of patients with CRS with GERD, MC amounted to 28.5 ± 4.7 min, in the group without GERD - 23.6 ± 2.7 min, in the healthy group - 5.8 ± 1 min. S. аureus (р = 0.009), E. mli (р = 0.029) and Candida albicans (р = 0.013) were detected in the mucosa of the middle meatus of patients with CRS and GERD more than in patients with CRS without GERD. No significant differences in the microflora of the paranasal sinus aspirate were revealed.

About the Authors

I. V. Temnikova
Road Clinical Hospital on the Irkutsk-Passazhirskiy Railway Station
Russian Federation


E. V. Onuchina
Irkutsk State Medical Academy of Continuing Education
Russian Federation


M. V. Subbotina
Irkutsk State Medical University
Russian Federation


References

1. Вишняков B.B., Арефьева H.A., Иванченко O.A. Xpoничеcкий риносинусит: Патогенез, диагностика и принципы лечения (клинические рекомендации). -М.: Практическая медицина, 2014. - C. 12-13

2. Иванченко O.A., Лопатин A.C. Xpoничеcкий риносинусит: эпидемиология, классификация, этиология, патогенез. Современный взгляд на проблему // Вестник оториноларингологии. - 2012. - № 2. - C. 91-96

3. Лопатин A.C., Гаврилов П.П., Пискунов Г.З., Кухоренко O.A. Микробный пейзаж флоры верхнечелюстных пазух и среднего носового хода при хроническом риносинусите // Российская ринология. -2013. - № 4. - C. 4-8

4. Лопатин A.C., Гамов В.П. Острый и хронический риносинусит: этиология, патогенез. Клиника, диагностика и принципы лечения: Учебное пособие. - М.: 000 «Медицинское информационное агентство», 2011. - C. 53-57

5. Шиленкова В.В. Диагностика заболеваний околоносовых пазух и носоглотки у детей // Российская ринология. - 2005. - № 2. - C. 204-205

6. Bhattacharyya N (2006). Clinical and symptom criteria for the accurate diagnosis of chronic rhinosinusitis. Laryngoscope, 116 (7), 1-22.

7. Delehaye E, Dore MP (2009). Correlation between nasal mucociliary clearance time and gastroesophageal reflux disease: our experience on 5O patients. Auris Nasus Larynx, 36 (2), 157-161.

8. El-Serag H, Sweet S, Winchester C (2013). Update on the epidemiology of gastroesophageal reflux disease: a systematic review. Gut., (63), 871-880.

9. Fokkens WJ, Lund VJ, Mullol J (2012). European position paper on rhinosinusitis and nasal polyps 2012. Rhinol. Suppl., (З), 1-298.

10. Kristi B, Michael H, Ravi J, Michael WT (2015). The nasal microbiota in health and disease: variation within and between subjects. Frontiers in Microbiology, (6), 1-9.

11. Lupa M, DelGaudio JM (2012). Reflux in sinusitis. Otolaryngologic Clinics of North America., (45), 98З-992.

12. Vakil N, Van Zanten SV, Kahrilas P, Jones R (2006). Global Consensus Group the Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am. J. Gastroenterol., 101 (8), 1900-1920.

13. Wong IW, Rees G, Greiff L (2010). Gastroesophageal reflux disease and chronic sinusitis: in search of an esophageal-nasal reflex. Rhinology & Allergy, 24 (4), 255-259.


Review

For citations:


Temnikova I.V., Onuchina E.V., Subbotina M.V. Mucociliary clearance and microbiota of the nasal passages, sinuses in patients with chronic rhinosinusitis associated with gastroesophageal reflux disease. Acta Biomedica Scientifica. 2016;1(3(2)):78-81. (In Russ.) https://doi.org/10.12737/article_590823a47345c8.15562147

Views: 857


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2541-9420 (Print)
ISSN 2587-9596 (Online)