PMID- 19958600 OWN - NLM STAT- MEDLINE DCOM- 20100609 LR - 20220408 IS - 1945-8932 (Electronic) IS - 1945-8932 (Linking) VI - 23 IP - 6 DP - 2009 Nov-Dec TI - Characterization of bacterial and fungal biofilms in chronic rhinosinusitis. PG - 556-61 LID - 10.2500/ajra.2009.23.3413 [doi] AB - BACKGROUND: Conclusive evidence exists that biofilms are present on the mucosa of chronic rhinosinusitis (CRS) patients. Less is known about the species constituting these biofilms. This study developed a fluorescence in situ hybridization (FISH) protocol for characterization of bacterial and fungal biofilms in CRS. METHODS: Fifty CRS patients and 10 controls were recruited. Bacteria FISH probes for Staphylococcus aureus, Haemophilus influenzae, and Pseudomonas aeruginosa and a universal probe for fungi were applied to sinus mucosal specimens and then analyzed using confocal scanning laser microscopy. RESULTS: Thirty-six of 50 CRS patients had biofilms present in contrast to 0/10 controls, suggesting a role for biofilms in the pathogenesis of this disease. S. aureus was the most common biofilm-forming organism. Eleven of 50 CRS patients had characteristic fungal biofilms present. CONCLUSION: This is the largest study of biofilms in CRS. It has validated mucosal tissue cryopreservation for delayed biofilm analysis. Fungal biofilms have been identified and the importance of S. aureus biofilms in the polymicrobial etiology of CRS is highlighted. FAU - Foreman, Andrew AU - Foreman A AD - Department of Surgery-Otorhinolaryngology, Head and Neck Surgery, University of Adelaide, Adelaide, Australia. FAU - Psaltis, Alkis James AU - Psaltis AJ FAU - Tan, Lor Wai AU - Tan LW FAU - Wormald, Peter-John AU - Wormald PJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Rhinol Allergy JT - American journal of rhinology & allergy JID - 101490775 SB - IM MH - Adult MH - *Biofilms MH - Chronic Disease MH - Female MH - Fungi/*growth & development/pathogenicity MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Mycoses/complications/*diagnosis MH - Nasal Mucosa/*microbiology MH - Rhinitis/etiology/prevention & control MH - Sinusitis/etiology/prevention & control MH - Staphylococcal Infections/complications/*diagnosis MH - Staphylococcus aureus/*growth & development/pathogenicity EDAT- 2009/12/05 06:00 MHDA- 2010/06/10 06:00 CRDT- 2009/12/05 06:00 PHST- 2009/12/05 06:00 [entrez] PHST- 2009/12/05 06:00 [pubmed] PHST- 2010/06/10 06:00 [medline] AID - 10.2500/ajra.2009.23.3413 [doi] PST - ppublish SO - Am J Rhinol Allergy. 2009 Nov-Dec;23(6):556-61. doi: 10.2500/ajra.2009.23.3413.