Intranasal Helicobacter pylori colonization does not correlate with the severity of chronic rhinosinusitis

To investigate the prevalence of Helicobacter pylori (HP) in the nasal cavity of patients with chronic rhinosinusitis (CRS) and to correlate it with the severity of CRS. Intranasal HP was investigated using rapid urease (CLO) testing and immunohistochemical (IHC) analysis and confirmed with transmis...

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Veröffentlicht in:Otolaryngology-head and neck surgery 2007-03, Vol.136 (3), p.390-395
Hauptverfasser: Kim, Hyo Yeol, Dhong, Hun-Jong, Chung, Seung Kyu, Chung, Kyu Whan, Chung, Young Jun, Jang, Kee-Taek
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container_end_page 395
container_issue 3
container_start_page 390
container_title Otolaryngology-head and neck surgery
container_volume 136
creator Kim, Hyo Yeol
Dhong, Hun-Jong
Chung, Seung Kyu
Chung, Kyu Whan
Chung, Young Jun
Jang, Kee-Taek
description To investigate the prevalence of Helicobacter pylori (HP) in the nasal cavity of patients with chronic rhinosinusitis (CRS) and to correlate it with the severity of CRS. Intranasal HP was investigated using rapid urease (CLO) testing and immunohistochemical (IHC) analysis and confirmed with transmission electron microscopy. To evaluate the severity of sinusitis, CT scans were graded according to the Lund-MacKay scoring system, and CRS symptom scores were recorded. Twelve of 48 patients (25.0%) were positive, but only 1 of 29 (3.4%) controls was positive for both CLO testing and IHC analysis ( P = 0.025). The mean preoperative CT grade ( P = 0.439) and symptom scores ( P = 0.515) were not related to the severity of CRS. Intranasal HP was more prevalent in patients with CRS than healthy controls. However, there was no significant correlation observed between the severity of sinusitis and intranasal HP colonization. HP has a limited role in pathogenesis of CRS.
doi_str_mv 10.1016/j.otohns.2006.10.015
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Intranasal HP was investigated using rapid urease (CLO) testing and immunohistochemical (IHC) analysis and confirmed with transmission electron microscopy. To evaluate the severity of sinusitis, CT scans were graded according to the Lund-MacKay scoring system, and CRS symptom scores were recorded. Twelve of 48 patients (25.0%) were positive, but only 1 of 29 (3.4%) controls was positive for both CLO testing and IHC analysis ( P = 0.025). The mean preoperative CT grade ( P = 0.439) and symptom scores ( P = 0.515) were not related to the severity of CRS. Intranasal HP was more prevalent in patients with CRS than healthy controls. However, there was no significant correlation observed between the severity of sinusitis and intranasal HP colonization. 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Intranasal HP was investigated using rapid urease (CLO) testing and immunohistochemical (IHC) analysis and confirmed with transmission electron microscopy. To evaluate the severity of sinusitis, CT scans were graded according to the Lund-MacKay scoring system, and CRS symptom scores were recorded. Twelve of 48 patients (25.0%) were positive, but only 1 of 29 (3.4%) controls was positive for both CLO testing and IHC analysis ( P = 0.025). The mean preoperative CT grade ( P = 0.439) and symptom scores ( P = 0.515) were not related to the severity of CRS. Intranasal HP was more prevalent in patients with CRS than healthy controls. However, there was no significant correlation observed between the severity of sinusitis and intranasal HP colonization. HP has a limited role in pathogenesis of CRS.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Chronic Disease</subject><subject>Facial Pain - classification</subject><subject>Female</subject><subject>Helicobacter Infections - diagnosis</subject><subject>Helicobacter pylori - growth &amp; development</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Male</subject><subject>Microscopy, Electron, Transmission</subject><subject>Middle Aged</subject><subject>Nasal Cavity - microbiology</subject><subject>Nasal Obstruction - classification</subject><subject>Olfaction Disorders - classification</subject><subject>Rhinitis - classification</subject><subject>Rhinitis - microbiology</subject><subject>Severity of Illness Index</subject><subject>Sinusitis - classification</subject><subject>Sinusitis - microbiology</subject><subject>Suppuration</subject><subject>Urease</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMFq3DAURUVpaCZp_6AUrbrz9Mm2LBlKoQ1JJhCaTfZCIz_XMh5pKskJ06-PBg9012YluNxzeTqEfGSwZsCaL-PaJz-4uC4BmhytgfE3ZMWgFUUjmXhLVsDauuBtK8_JRYwj5GIjxDtyzkRVMtnwFRnvXAra6agnusHJGr_VJmGg-8Pkg6XGT97ZPzpZ72jnMVLnU05DwEknpM82DTQNSCM-YbDpQH1PzRAyZGgYrPPRujnaZON7ctbrKeKH03tJHm-uH682xf3D7d3V9_vC1JzXhZYSuc5f7NsaZMk6WQFqrg0IEFxw3jPDeFMDgy3TZQXbUtdSyqqs2g766pJ8Xmb3wf-eMSa1s9HgNGmHfo5KQAlN2bBcrJeiCT7GgL3aB7vT4aAYqKNiNapFsToqPqZZccY-nfbn7Q67v9DJaS58XQrPdsLDq0bVw-bnj5sSRFVnnC141L9QjX4OLtv6303fFgaz1yeLQUVj0RnsbECTVOftvwdeADTks0c</recordid><startdate>200703</startdate><enddate>200703</enddate><creator>Kim, Hyo Yeol</creator><creator>Dhong, Hun-Jong</creator><creator>Chung, Seung Kyu</creator><creator>Chung, Kyu Whan</creator><creator>Chung, Young Jun</creator><creator>Jang, Kee-Taek</creator><general>Mosby, Inc</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200703</creationdate><title>Intranasal Helicobacter pylori colonization does not correlate with the severity of chronic rhinosinusitis</title><author>Kim, Hyo Yeol ; 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source SAGE Complete A-Z List; MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Child
Chronic Disease
Facial Pain - classification
Female
Helicobacter Infections - diagnosis
Helicobacter pylori - growth & development
Humans
Immunohistochemistry
Male
Microscopy, Electron, Transmission
Middle Aged
Nasal Cavity - microbiology
Nasal Obstruction - classification
Olfaction Disorders - classification
Rhinitis - classification
Rhinitis - microbiology
Severity of Illness Index
Sinusitis - classification
Sinusitis - microbiology
Suppuration
Urease
title Intranasal Helicobacter pylori colonization does not correlate with the severity of chronic rhinosinusitis
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