Abstract
Introduction
Otitis media is one of the most commonly encountered pediatric ENT diseases. Antibiotic resistance is increasing partly because of their overuse and largely because of changing microbiological strains leading to the disease. In this study, we aimed to determine the current microbiological pattern of the disease in children.
Participants and methods
Ear discharges of 200 children with acute otitis media between 6 and 14 years of age were microbiologically examined.
Results
Virus-only infection was positive in 13% of patients, 30% were only bacterial (48% of which is Proteus mirabilis), and 57% had combined viral and bacterial infections.
Conclusion
Changing trends in microbiological patterns warrant further researches to achieve better prevention and treatment.
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References
Sung BS, Chonmaitree T, Broemeling LD, Owen MJ, Patel JA, Hedgpeth DC, Howie VM. Association of rhinovirus infection with poor bacteriologic outcome of bacterial-viral otitis media. Clin Infect Dis 1993; 17:38–42.
Brandenburg AH, Beek HA, Moll ME, Osterhaus ME, Claas ECJ. G protein variation in respiratory syncytial virus group-A does not correlate with clinical severity. J Clin Microbiol 2000; 38:3849–3852.
De Alarcon A, Walsh EE, Carper HT, La Russa JB, Evans BA, Rakes GP, et al. Respiratory syncytial virus among the common causes of otitis media in children. J Pediatr 2001; 138:311–317.
Doing KM, Jerkofsky MA, Dow EG, Jellison JA. Use of fluorescent-antibody staining of cytocentrifuge-prepared smears in combination with cell culture for direct detection of respiratory viruses. J Clin Microbiol 1998; 36:2112–2114.
Chonmaitree T, Heikkinen T. Role of viruses in middle-ear disease. Ann N Y Acad Sci 1997; 830:143–157.
Hall WJ, Hall CB, Speers DM. Respiratory syncytial virus infection in adults: clinical, virologic, and serial pulmonary function studies. Ann Intern Med 1978; 88:203–205.
Klein BS, Dollete FR, Yolken RH. The role of respiratory syncytial virus and other viral pathogen in acute otitis media. J Pediatr 1999; 101:16–20.
Philip A, Brunell MD. In a series of studies of children with acute otitis media by the Calreston group by testing middle ear fluids and nasal wash specimens evidence for viral involvement was found in 41%. Pediatrics 2002; 109:826.
Wiertsema SP, Chidlow GR, Kirkham LA, Corscadden KJ, Mowe EN, Vijayasekaran S, et al. High detection rates of nucleic acids of a wide range of respiratory viruses in the nasopharynx and the middle ear of children with a history of recurrent acute otitis media. J Med Virol 2011; 83:2008–2017.
Endimiani A, Luzzaro F, Brigante G, Perilli M, Lombardi G, Amicosante G, et al. Proteus mirabilis bloodstream infections: risk factors and treatment outcome related to the expression of extended-spectrum beta-lactamases. Antimicrob Agents Chemother 2005; 49: 2598–2605.
Van Hasselt P, van Kregten E. Treatment of chronic suppurative otitis media with ofloxacin in hydroxypropyl methylcellulose ear drops: a clinical/ bacteriological study in a rural area of Malawi. Int J Pediatr Otorhinolaryngol 2002; 63:49–56.
Nwabuisi C,, Ologe FE. Pathogenic agents of chronic suppurative otitis media in Ilorin, Nigeria. East Afr Med J 2002; 79:202–205.
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Mohamed, S.K., Hassan, H.G. Current microbiological pattern and role of respiratory syncytial virus infection in children with acute otitis media in South Jeddah. Egypt J Otolaryngol 33, 623–625 (2017). https://doi.org/10.4103/1012-5574.217387
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DOI: https://doi.org/10.4103/1012-5574.217387