Relationship between Acute Suppurative Otitis Media and Chronic Secretory Otitis Media: Role of Antibiotics

Author:

Mills Robert1,Uttley Ann2,McIntyre Michelle2

Affiliation:

1. ENT Department, King's College Hospital, London SE5 9RS

2. Public Health Laboratory, Dulwich Hospital, London SE22

Abstract

A total of 204 chronic middle ear effusions from 122 children have been studied. Bacteria were isolated from 30 effusions. The commonest species found were Strep. pneumoniae and H. influenzae. These are also the commonest organisms causing acute otitis media (AOM). A similar pattern of serotypes was also demonstrated. In vitro sensitivity testing showed that most of the organisms isolated were sensitive to most commonly-used antibiotics. The main exception was resistance to penicillin amongst strains of H. influenzae and Staph. aureus. It is suggested that some cases of chronic secretory otitis media (SOM) may arise as a result of incomplete resolution of AOM and that the use of penicillin to treat AOM may be one factor in this process.

Publisher

SAGE Publications

Subject

General Medicine

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1. Tumor-biology and current treatment of skull-base chordomas;Advances and Technical Standards in Neurosurgery;2008

2. Otitis media with effusion in children (Glue ear);A Textbook of Audiological Medicine;2002-12-19

3. The aetiology of otitis media with effusion: a review;Clinical Otolaryngology and Allied Sciences;2000-06

4. Short-course antibiotics for acute otitis media;The Cochrane Database of Systematic Reviews;2000-04-24

5. Treatment of Acute Otitis Media With a Shortened Course of Antibiotics;JAMA;1998-06-03

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