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Paper Information

Journal:   MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES   SUMMER 2002 , Volume 45 , Number 76; Page(s) 39 To 46.
 
Paper: 

DETERMINATION OF ETIOLOGIC FACTORS IN CHRONIC RHINITIS BY CYTOLOGIC SMEAR AND BACTERIAL AND FUNGAL CULTURE OF NASAL DISCHARGES

 
 
Author(s):  KHOUEI ALI REZA, FATA A.A.M., NAZEM MOHAMMAD, NOUROUZ BEYGI Y., DORI MAHBOUBEH, HASHEMIAN PEDRAM
 
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Abstract: 

Chronic Rhinitis (CR) is a common disease of upper respiratory tract. The clinical signs are Rhinorrhea, nasal obstruction, sneezing and itching, which may lead patient refer to ORL clinics.
CR may be due to non-allergic infectious and non-infectious or allergic etiologic agents.
In order to study the etiologic agents and the value of Lab. techniques in diagnosis of CR, a prospective study was undertaken over a 14-month period on J00 patients suffering from CR referring Emam Reza Hospital.
Clinical examination and Laboratory tests including cytology smear, Bacterial and fungal culture of the nasal discharge were performed for each patient.
56% of the patients were female and 449'0were male. CR was common among the age group 10-19 years old.
Rhinorrhea (97%), nasal blockage (87%), sneezing and itching (66%) were the common clinical SIgnS.
Nonseasonal Permanent CR was observed in 54% of the patients and 46% had seasonal rhinitis.
Personal and familial allergic history was specified in 42% and 24% of the patients respectively.
Using cytologic smear of nasal discharges, neutrophilic inflammation in 43%, eosinophilic inflammation in 18% and combined inflammation in 18% of sample was diagnosed.
Coagulase negative staphylococci (54%) and aspergillums SPP (18%) were the most common bacteria and fungi cultured respectively.
The results confirmed that laboratory tests such as cytology smear and culture of nasal discharge are very helpful for precise diagnosis of chronic rhinitis and its related etiologic agents.

 
Keyword(s): CHRONIC RHINITIS, ALLERGIC RHINITIS, NON-ALLERGIC RHINITIS, RHINORRHEA, DIRECT SMEAR, CULTURE, CYTOLOGY
 
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