Nosocomial sinusitis

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Background

Microbiology

Gram-negative bacilli
Gram-positive cocci
- Staphylococcus aureus
- Viridans group streptococci
- Streptococcus pneumoniae
- Others, including coagulase-negative staphylococci and Corynebacterium
Anaerobes
Candida

Epidemiology

Occurs in 8 to 32% of critically ill patients
More common with nasogastric tubes

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