2021
DOI: 10.3389/fphar.2021.640514
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Novel Antimicrobial Treatment Strategy Based on Drug Delivery Systems for Acute Otitis Media

Abstract: Despite tremendous success of pneumococcal conjugated vaccine and antimicrobial treatment by amoxicillin, acute otitis media (AOM) still remains as a great medical concern. Failure of antimicrobial treatment includes several factors. The middle ear cavity is surrounded by bone tissue, which makes it difficult to maintain sufficient concentration of antibiotics. Tympanic membrane of AOM patients thickens and actually becomes a barrier for topical therapy. This review discusses novel antimicrobial treatment stra… Show more

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Cited by 9 publications
(6 citation statements)
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“…Due to its high colonization potential, ability to ruin food, and resistance to antibiotics, disinfectants, and antiseptics, P. aeruginosa is frequently associated with biofilm formation nosocomial infections and food poisoning ( Morris, 2004 ; Hillier et al, 2006 ). Otitis media (OM) is the medical name for an infection of the tympanic membrane or middle ear, characterized by ear pain or discharge ( Danishyar and Ashurst, 2017 ; Sander, 2001 ; Kono et al, 2021 ).…”
Section: Introductionmentioning
confidence: 99%
“…Due to its high colonization potential, ability to ruin food, and resistance to antibiotics, disinfectants, and antiseptics, P. aeruginosa is frequently associated with biofilm formation nosocomial infections and food poisoning ( Morris, 2004 ; Hillier et al, 2006 ). Otitis media (OM) is the medical name for an infection of the tympanic membrane or middle ear, characterized by ear pain or discharge ( Danishyar and Ashurst, 2017 ; Sander, 2001 ; Kono et al, 2021 ).…”
Section: Introductionmentioning
confidence: 99%
“…To date, OM is commonly treated with antibiotic prescriptions that, however, can cause harmful effects like diarrhea, vomiting, or skin rash [ 10 ]. Additionally, the impact of antibiotics on hearing is still unclear, and when most aggressive OM forms occur, there is no evidence that the administration of antibiotics can reduce the necessity of surgery, e.g., the placement of ventilation tubes into the tympanic membrane [ 11 , 12 ]. Therefore, new therapeutic strategies are required to prevent OM and reduce the need for surgical interventions in the case of COM.…”
Section: Introductionmentioning
confidence: 99%
“…The conventional antibiotic treatment for ear infections may need to be re-evaluated after this sighting. 1 , 18 Recent antibiotic treatment of acute otitis media, children in daycare centers, wintertime infections, and AOM among children under two years of age are all risk factors for resistant bacteria. 19 , 20 In order to eradicate drug-resistant Streptococcus pneumoniae , a greater dose of amoxicillin (80 mg per kg per day) may be necessary.…”
Section: Introductionmentioning
confidence: 99%