Can nasal bacterial flora be predicted from clinical findings?

In a clinical study involving 229 control subjects and 285 patients with abnormal nasal or paranasal findings which extended over a 2-year period, patients with crusting below the nares, on the edges of the alae nasi, or redness of the skin below the nares had a significant increase in the growth of...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1972-04, Vol.49 (4), p.596-599
Main Authors: Hays, G C, Mullard, J E
Format: Article
Language:English
Subjects:
Bacteria - isolation & purification
Bacterial Infections
Child
Child, Preschool
Color
Haemophilus influenzae - isolation & purification
Humans
Infant
Nasal Mucosa - secretion
Nose - microbiology
Skin Diseases, Infectious - microbiology
Staphylococcus - isolation & purification
Streptococcus - isolation & purification
Streptococcus pneumoniae - isolation & purification
Time Factors
Viscosity
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Summary:In a clinical study involving 229 control subjects and 285 patients with abnormal nasal or paranasal findings which extended over a 2-year period, patients with crusting below the nares, on the edges of the alae nasi, or redness of the skin below the nares had a significant increase in the growth of beta hemolytic streptococcus in their nasal cultures. Patients with a nasal discharge had a higher incidence of beta hemolytic streptococci, Hemophilus influenzae, and pneumococci than the controls. Color, thickness, and duration of nasal discharge were poor predictors of nasal bacterial flora. Blistering distal dactylitis was found in two symptomatic patients, both of whom grew beta streptococci from their noses and the pus from the blisters.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.49.4.596