소아 재발성 만성 부비동염 환자에 있어서 국소적 항생제 분무 치료의 효과

민경근; 김선영; 강일규; 차흥억; 김선태

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자료유형: 학술저널

저자정보: 민경근 김선영 강일규 차흥억 김선태

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제10호

발행연도: 2006.1

수록면: 997 - 1,002 (6page)

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Background and Objectives：The management of chronic recurrent rhinosinusitis in children has become controversial, because there are now various treatment modalities. We assessed nebulized antibiotic therapy, which had been studied as a treatment option in the postoperative infection in adult patients, for its effectiveness in children with chronic rhinosinusitis. Subjects and Method：We have selected 34 pediatric chronic rhinosinusitis patients who have received treatment for 3 months or 3 times for recent 6 months with oral antibiotics. They were treated with a nebulized antibiotic therapy for 4 weeks. We have compared preand post-treatment symptom scores, physical scores, and radiologic scores. After 6 months of follow up, infection free period was assessed. Results：In 34 patients, 25 patients were selected for study. The symptoms and physical findings were improved in 76%, and the radiologic findings were also improved in 56%. Improvement in rhinorrhea, nasal obstruction, coughing and nasal swelling were significant. Mean infection free period was 13.7 weeks. Conclusion：Nebulized antibiotic therapy might be considered as another therapeutic option for pediatric patients with chronic sinusitis who have failed to respond to oral antibioticsor who cannot tolerate them. (Korean J Otolaryngol 2006;49:997-1002)

#소아 만성 부비동염·흡입 치료·항생제. #Pediatric chronic rhinosinusitis·Nebulizer·Antibiotics.

참고문헌 (14)

참고문헌 신청

/ 1997 / A comparison of peak sputum tobramycin concentrationin patients with cystic fibrosis using jet and ultrasonicnebulizer systems 111 (4) : 955 ~ 962

/ 1999 / Topical antibiotic therapy for recalcitrantsinusitis 109 (4) : 668 ~ 670

/ 2000 / Current status of topical nasal antimicrobialagents 110 (6) : 875 ~ 880

/ 2000 / Management of pediatric rhinosinusitis 8 (6) : 469 ~ 476

/ 2001 / Pediatric rhinosinusitis: Is it a surgical disease? 9 (1) : 61 ~ 66

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