Bacterial community of chronic rhinosinusitis patients and therapeutic ultrasound efficacy: clinical trial study

Narjes Feizabadi; Javad Sarrafzadeh; Mojtaba Fathali; Behnoosh  Vasaghi-Gharamaleki; Mahdi Dadgoo; Jalil Kardan-Yamchi; Hossein Kazemian; Sonia Hesam-Shariati; Mohammad Mehdi Feizabadi

doi:10.18502/ijm.v14i3.9765

Narjes Feizabadi Department of Physiotherapy, Faculty of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran
Javad Sarrafzadeh Department of Physiotherapy, Faculty of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran
Mojtaba Fathali Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
Behnoosh Vasaghi-Gharamaleki Department of Basic Sciences, Faculty of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran
Mahdi Dadgoo Department of Physiotherapy, Faculty of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran
Jalil Kardan-Yamchi Department of Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Hossein Kazemian Department of Microbiology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran
Sonia Hesam-Shariati School of Medical Sciences, Faculty of Medicine, University of New South Wales, Sydney, Australia
Mohammad Mehdi Feizabadi Department of Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/ijm.v14i3.9765

Keywords: Rhinosinusitis; Ultrasound therapy; Bacterial infection; Treatment; CT scan

Abstract

Background and Objectives: Bacterial involvement in chronic rhinosinusitis (CRS) condition made it difficult to treat using available antibiotic therapy. Therapeutic ultrasound was investigated here to evaluate bacterial diversity and quantity before and after continuous/pulsed ultrasound strategy compared to control patients.

Materials and Methods: Totally, 34 CRS patients were studied in three groups, including continuous ultrasound, pulsed ultrasound and control. Bacterial culture and identification were done before and after treatment. CT scan and questionnaire scores were recorded two times before and after intervention.

Results: The most prevalent bacterial isolates were non-hemolytic Streptococci (34 patients), coagulase-negative Staphy- lococcus (33 patients), Gram-negative cocci (26 patients), Staphylococcus aureus (19 patients), Streptococcus pneumoniae (five patients) and Streptococcus pyogenes (five patients). Both continuous and pulsed ultrasound could significantly reduce the quantity of bacterial isolates after treatment. CT scan and questionnaire results support the effectiveness of therapeutic ultrasound.

Conclusion: The quantity of clinically important bacteria was significantly reduced using ultrasound treatment and recov- ery of patients was supported by CT scan and questionnaire scores. Alternative therapeutic ultrasound could be an effective procedure in CRS patients.