#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Focal infection in otorhinolaryngology – non-uniform diagnostic procedure


Authors: K. Zogatová 1;  J. Zogata 2;  J. Syrovátka 1
Authors‘ workplace: Oddělení ORL a chirurgie hlavy a krku, Nemocnice AGEL Nový Jičín, a. s. 1;  Ortopedicko-traumatologické oddělení, Nemocnice AGEL Nový Jičín, a. s. 2
Published in: Otorinolaryngol Foniatr, 74, 2025, No. 1, pp. 25-35.
Category: Original Article
doi: https://doi.org/10.48095/ccorl202525

Overview

Diagnosis of focal infection in ENT belongs to the normal outpatient practice of every ENT doctor. This examination is most often required before orthopedic endoprosthetic procedures and selected cardiac surgical procedures, most often before replacement of valve replacements. At that time, there were no recommended procedures for performing this examination in the Czech Republic, nor were there requirements for orthopedic and cardiac surgery departments. The result is a non-uniform procedure in both cases, both in the examination of ENT doctors and in the requirements regarding this examination. In this work, we focused on finding differences in investigation procedures, on different requirements before planned surgery using the questionnaire method, and compared the results with the available recent literature.

Keywords:

focal infection – diagnosis of focal infection – decolonization – RTG paranasal sinus


Sources

1. Vokurka M, Hugo J et al. Velký lékařský slovník. 8. vyd. Praha: Maxdorf 2009: 1144.

2. Kapur BP, Tonge X, Kumar G et al. Risk of methicillin-resistant Staphylococcus aureus prosthetic joint infection in elective total hip and knee arthroplasty following eradication therapy. World J Orthop 2021; 12 (11): 842–849. Doi: 10.5312/wjo.v12.i11.842.

3. Komínek P, Chrobok V, Astl J et al. Záněty hltanu. 3. vyd. Havlíčkův Brod: Tobiáš 2016: 80.

4. Konečná E, Vídeňská P, Urík M. Biologický význam a vývoj mikrobiomu horních cest dýchacích. Otorinolaryngol Foniatr 2020; 69 (3): 135–138.

5. Man WH, de Steenhuijsen Piters WA, Bogaert D et al. The microbiota of the respiratory tract: gatekeeper to respiratory health. Nat Rev Microbiol 2017; 15 (5): 259–270. Doi: 10.1038/nrmicro.2017.14.

6. Lemon KP. Human nasal microbiota. Curr Biol 2020; 30 (19): R1118–R1119. Doi: 10.1016/ j.cub.2020.08.010.

7. Requena T, Velasco M. The human microbiome in sickness and in health. Rev Clin Esp (Barc) 2021; 221 (4): 233–240. Doi: 10.1016/ j.rceng.2019.07.018.

8. Zatorska B, Arciola CR, Haffner N et al. Bacterial extracellular DNA production is associated with outcome of prosthetic joint infections. Biomed Res Int 2018; 2018: 1067413. Doi: 10.1155/2018/1067413.

9. Kautzner J. Chlopenní srdeční vady. 2024 [online]. Dostupné z: https: //www.ikem.cz/cs/chlopenni-srdecni-vady/a-437.

10. Ando T, Ashraf S, Villablanca PA et al. Meta-analysis comparing the incidence of infective endocarditis following transcatheter aortic valve implantation versus surgical aortic valve replacement. Am J Cardiol 2019; 123 (5): 827–832. Doi: 10.1016/j.amjcard.2018. 11.031.

11. Alexis SL, Malik AH, George I et al. Infective endocarditis after surgical and transcatheter aortic valve replacement: a state of the art review. J Am Heart Assoc 2020; 9 (16): e017347. Doi: 10.1161/JAHA.120.017347.

12. Petersen IS, Zeuthen AB, Christensen JM et al. Rhinopharynx irrigations and mouthwash with dissolved mupirocin in treatment of MRSA throat colonization – proof-of-concept study. J Hosp Infect 2022; 119: 16–21. Doi: 10.1016/j.jhin.2021.09.025.

13. Zhu X, Sun X, Zeng Y et al. Can nasal Staphylococcus aureus screening and decolonization prior to elective total joint arthroplasty reduce surgical site and prosthesis-related infections? A systematic review and meta-analysis. J Orthop Surg Res 2020; 15 (1): 60. Doi: 10.1186/s13018-020-01601-0.

14. Lin L, Ke ZY, Wang Y et al. Efficacy of preoperative screening and decolonization for Staphylococcus aureus in total joint arthroplasty: a meta-analysis. Asian J Surg 2021; 44 (6): 807–818. Doi: 10.1016/j.asjsur.2020.12.037.

15. Lemaignen A, Armand-Lefevre L, Birgand G et al. Thirteen-year experience with universal Staphylococcus aureus nasal decolonization prior to cardiac surgery: a quasi-experimental study. J Hosp Infect 2018; 100 (3): 322–328. Doi: 10.1016/j.jhin.2018.04.023.

16. Edmiston CE Jr, Ledeboer NA, Buchan BW et al. Is staphylococcal screening and suppression an effective interventional strategy for reduction of surgical site infection? Surg Infect (Larchmt) 2016; 17 (2): 158–166. Doi: 10.1089/sur.2015.257.

17. Rao N, Cannella BA, Crossett LS et al. Preoperative screening/decolonization for Staphylococcus aureus to prevent orthopedic surgical site infection: prospective cohort study with 2-year follow-up. J Arthroplasty 2011; 26 (8): 1501–1507. Doi: 10.1016/j.arth.2011. 03.014.

18. Perl TM, Cullen JJ, Wenzel RP et al. Intranasal mupirocin to prevent postoperative Staphylococcus aureus infections. N Engl J Med 2002; 346 (24): 1871–1877. Doi: 10.1056/NEJMoa003069.

19. Chlorhexidine – official FDA information, side effects and uses. 2024 [online]. Dostupné z: https: //www.drugs.com/pro/chlorhexidine.html. http: //www.who.int/reproductive-health/publications/MSM_98_4/MSM_98_4_annex.en.html.

20. World Health Organization. The most common topical antimicrobials. In: Care of the umbilical cord. 1998 [online]. Dostupné z: https: //www.sciencedirect.com/science/article/pii/S234128791930078X

21. Schalek P, Hart L. Radiografie paranazálních dutin: význam v diagnostice akutní rinosinusitidy a současné možné indikace. Otorinolaryngol Foniatr 2017; 66 (1): 3–6.

22. Hong SD, Jang MS, Cho HJ et al. Sinonasal evaluation and treatment before liver transplantation: a retrospective review of 982 patients. Eur Arch Otorhinolaryngol 2015; 272 (4): 897–903. Doi: 10.1007/s00405-0143300-0.

23. Ryu G, Seo MY, Lee KE et al. Clinical course of rhinosinusitis and efficacy of sinonasal evaluation in kidney transplant recipients: review of 1589 patients. Eur Arch Otorhinolaryngol 2018; 275 (5): 1183–1188. Doi: 10.1007/s00405-018-4941-4.

24. Moon BJ, Han JH, Jang YJ et al. Effect of chronic rhinosinusitis on liver transplant patients. Am J Rhinol Allergy 2009; 23 (5): 492–496. Doi: 10.2500/ajra.2009.23.3352.

25. Spillinger A, Low CM, Smith BM et al. Presentation and outcomes of chronic rhinosinusitis following liver and kidney transplant. World J Otorhinolaryngol Head Neck Surg 2020; 7 (2): 139–145. Doi: 10.1016/j.wjorl.2020.05. 001.

26. Ontario Health (Quality). Pre-surgical nasal decolonization of Staphylococcus aureus: a health technology assessment. Ont Health Technol Assess Ser 2022; 22 (4): 1–165.

27. Holm MKA, Meiniche HK, Pedersen M et al. A randomized, placebo-controlled, double-blinded trial of MRSA throat carriage treatment, with either standard decolonization alone or in combination with oral clindamycin. Trials 2022; 23 (1): 502. Doi: 10.1186/s13063-02206443-1.

28. Eum LY, Materniak S, Duffley P et al. Randomized controlled trial of chlorhexidine gluconate, intranasal mupirocin, rifampin, and doxycycline versus chlorhexidine gluconate and intranasal mupirocin alone for the eradication of methicillin-resistant Staphylococcus aureus (MRSA) colonization. J Assoc Med Microbiol Infect Dis Can 2021; 6 (4): 296–306. Doi: 10.3138/jammi-2020-0049.

29. Tulunay Kaya C. How to achieve infective endocarditis prophylaxis. e-Journal of Cardiology Practice 2018; 16 (33). 2018 [online]. Dostupné z: https: //www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-16/vol16 no33.

ORCID autora

J. Syrovátka 0009-0005-5381-6315.

Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#