{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T14:32:19Z","timestamp":1768746739215,"version":"3.49.0"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T00:00:00Z","timestamp":1621814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Antibiotics are largely overprescribed for acute rhinosinusitis in primary care, mainly due to the lack of diagnostic tests to confirm or rule out bacterial infection. The study objective was to assess the on\u2010site applicability and safety of the newly developed JGG endoscope<jats:sup>\u00ae<\/jats:sup> for the diagnosis of acute bacterial rhinosinusitis in primary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Five Swiss primary care centres and one university\u2010affiliated ENT unit participated in this single\u2010arm pilot study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Adults with acute suspected bacterial rhinosinusitis. The newly developed JGG endoscope<jats:sup>\u00ae<\/jats:sup>, which is attached to a pocket otoscope, was used to inspect after local anaesthesia the nasal cavity and middle meatus and to gain material for bacterial culture from paranasal sinuses draining ostium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Applicability and safety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The visualisation of the middle meatus was successful in 16 of 21 patients (13 in both sides and three in one side), and unclear or unsuccessful in five patients. Sample collection from the middle meatus was successful in 10 patients (six on both and four on one side) and unclear or unsuccessful in the remaining patients. Only one culture\u2010confirmed bacterial rhinosinusitis and 11 PCR\u2010confirmed viral infections were identified from collected samples. After a 2\u2010week follow\u2010up, no serious adverse events were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The on\u2010site use of the JGG endoscope\u00ae in daily primary care routine is feasible and safe and was well accepted by the trial physicians and patients (assessed with structured questionnaires). The JGG endoscope\u00ae may support general practitioners to differentiate between bacterial and viral rhinosinusitis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13785","type":"journal-article","created":{"date-parts":[[2021,4,18]],"date-time":"2021-04-18T18:49:30Z","timestamp":1618771770000},"page":"1050-1056","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Single\u2010use device endoscopy for the diagnosis of acute bacterial rhinosinusitis in primary care: A pilot and feasibility study"],"prefix":"10.1111","volume":"46","author":[{"given":"Dominik","family":"Glinz","sequence":"first","affiliation":[{"name":"Basel Institute for Clinical Epidemiology and Biostatistics Department of Clinical Research University Hospital Basel  Basel Switzerland"},{"name":"University of Basel  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Georg Hansen","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Aarhus University Hospital  Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Trutmann","sequence":"additional","affiliation":[{"name":"mediX toujours  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Schaller","sequence":"additional","affiliation":[{"name":"Hausarztpraxis Muttenz Ltd  Muttenz Switzerland"},{"name":"Department of Pathology University of Buenos Aires  Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrg","family":"Vogt","sequence":"additional","affiliation":[{"name":"Praxis Vogt  Liestal Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claus","family":"Diermayr","sequence":"additional","affiliation":[{"name":"Praxis Hammer  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Marti","sequence":"additional","affiliation":[{"name":"mediX toujours  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Leitmeyer","sequence":"additional","affiliation":[{"name":"University of Basel  Basel Switzerland"},{"name":"Department of Otolaryngology University Hospital Basel  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Doerig","sequence":"additional","affiliation":[{"name":"University of Basel  Basel Switzerland"},{"name":"Department of Otolaryngology University Hospital Basel  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Zeller","sequence":"additional","affiliation":[{"name":"Centre for Primary Health Care University of Basel  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antje","family":"Welge\u2010Luessen Lemcke","sequence":"additional","affiliation":[{"name":"University of Basel  Basel Switzerland"},{"name":"Department of Otolaryngology University Hospital Basel  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0131-7873","authenticated-orcid":false,"given":"Heiner C.","family":"Bucher","sequence":"additional","affiliation":[{"name":"Basel Institute for Clinical Epidemiology and Biostatistics Department of Clinical Research University Hospital Basel  Basel Switzerland"},{"name":"University of Basel  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,24]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.4089"},{"key":"e_1_2_12_3_1","first-page":"1","article-title":"Summary health statistics for U.S. Adults: national health interview survey, 2011","volume":"256","author":"Schiller JS","year":"2012","journal-title":"Vital Health Stat 10"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp13X674620"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/CLEP.S23125"},{"issue":"2","key":"e_1_2_12_6_1","first-page":"B4801","article-title":"Acute rhinosinusitis (ARS). 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