“…In 1997, A. otitidis was incorporated as part of a multiplex PCR method with the three major otopathogens, NTHi, S. pneumonia, and M. catarrhalis (Hendolin et al, 1997). The use of PCR has substantially improved the detection rate of these four organisms in MEF specimens compared to microbiological culture, as demonstrated by studies where both methods were used (Hendolin et al, 1997(Hendolin et al, , 1999Leskinen et al, 2002;Pereira et al, 2004;Harimaya et al, 2006a;Kaur et al, 2010;Aydin et al, 2012;Khoramrooz et al, 2012;Sheikh et al, 2015;Sillanpää et al, 2016;Slinger et al, 2016). In children with OME or COME, A. otitidis has been reported by PCR in 18.5-60.5% of MEF specimens (13 studies), and in children with AOM or rAOM, 7-50% (5 studies).…”