Guest guest Posted May 19, 2011 Report Share Posted May 19, 2011 Has anyone used H and E stains with a light microscope to look at microorganisms in sinus samples(ie from colored or unusual discharge when a sinus is cleared). > > Eur Arch Otorhinolaryngol. <http://www.ncbi.nlm.nih.gov/pubmed/21547386> > 2011 May 6. [Epub ahead of print]Biofilm detection in chronic > rhinosinusitis by combined application of hematoxylin-eosin and gram > staining.Tóth L > <http://www.ncbi.nlm.nih.gov/pubmed?term=%22T%C3%B3th%20L%22%5BAuthor%5D\ > > , Csomor P > <http://www.ncbi.nlm.nih.gov/pubmed?term=%22Csomor%20P%22%5BAuthor%5D> , > Sziklai I > <http://www.ncbi.nlm.nih.gov/pubmed?term=%22Sziklai%20I%22%5BAuthor%5D> > , Karosi T > <http://www.ncbi.nlm.nih.gov/pubmed?term=%22Karosi%20T%22%5BAuthor%5D> > .Source > Department of Otolaryngology and Head and Neck Surgery, University of > Debrecen, Medical and Health Science Center, Nagyerdei Krt. 98, > Debrecen, 4032, Hungary. > Abstract > The pathomechanism of chronic rhinosinusitis with nasal polyposis > (CRS/NP) seems to be unclear. Bacterial-, fungal- and combined biofilms > might play a potential role in the pathogenesis of various inflammatory > diseases and recently in CRS/NP. A prospective, blinded observational > study was performed to confirm that the combination of conventional > hematoxylin-eosin (HE) and Gram staining protocols could be used to > detect bacterial and fungal biofilms in patients with CRS/NP. A total of > 50 patients with CRS/NP undergoing endoscopic sinus surgery (ESS) were > analyzed. The negative control group consisted of 12 patients undergoing > septoplasty for nasal obstruction without CRS/NP. The nasal polyps and > inferior turbinate mucosa specimens applied as negative controls were > processed to HE and Gram staining. Biofilm was detected in 44 of 50 > patients with CRS/NP and in none of 12 negative controls. In our series, > HE method showed an obvious correlation with the results of Gram > staining and was allocated to be a good predictor of biofilm existence. > It was found that the microscopic structure and thickness of biofilms > were strongly associated with the integrity of nasal mucosa and with the > characteristics of subepithelial cellular infiltration. This study > confirmed the presence of bacterial and fungal biofilms on the surface > of NPs obtained from patients with CRS. Since biofilms may affect the > severity and recurrence rate of CRS treated by ESS they should be > detected histologically. In conclusion, HE staining combined with Gram > protocol is a robust and reliable method for the detection of bacterial > and fungal biofilms in CRS/NP. > Quote Link to comment Share on other sites More sharing options...
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