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Bacterial lysate for the prevention of chronic rhinosinusitis recurrence in children

Published online by Cambridge University Press:  20 March 2017

J Chen ,
Y Zhou ,
J Nie ,
Y Wang ,
L Zhang ,
Q Shi ,
H Tan  and
W Kong
J Chen
Affiliation:
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Y Zhou
Affiliation:
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
J Nie
Affiliation:
Department of Endocrinology, Third Affiliate Hospital of Guangzhou Medical University, Guang Zhou, China
Y Wang
Affiliation:
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
L Zhang
Affiliation:
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Q Shi
Affiliation:
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
H Tan
Affiliation:
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
W Kong*
Affiliation:
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
*
Address for correspondence: Dr Weijia Kong, Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China Fax: +86 27 8572 7712 E-mail: entwjkong@hust.edu.cn
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Abstract

Background:

Chronic rhinosinusitis is a common nasal disorder in children that is prone to recurrence. This study investigated the prevention of chronic rhinosinusitis recurrence with bacteria lysate in children.

Methods:

Bacteria lysate was administered 10 days per month for 3 months to children with chronic rhinosinusitis, who had just entered a remission phase. Visual analogue score, nasal symptoms scores, rhinitis attack frequency and antibiotic use were assessed at three months and one year.

Results:

At one year of follow up, the visual analogue score, nasal discharge and obstruction scores, number of days with rhinitis attacks per month and number of days with antibiotic use per month were significantly decreased in the prevention group versus the control group (p < 0.05).

Conclusion:

Bacterial lysate used in the remission period of rhinosinusitis in children was shown to provide long-term prophylaxis. Bacterial lysate can effectively reduce the frequency of rhinosinusitis attacks and ameliorate attack symptoms.

Keywords

SinusitisTertiary PreventionChildren
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 6 , June 2017 , pp. 523 - 528
Copyright
Copyright © JLO (1984) Limited 2017 

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