Suppurative Complications of Acute Otitis Media in the Era of Antibiotic Resistance

Abstract

The rising incidence of resistant S pneumoniae corresponded to the increasing number of suppurative complications of AOM during the study period and seemed to contribute to more aggressive infectious processes requiring surgical intervention.

Mastoiditis in children: a prospective, observational study comparing clinical presentation, microbiology, computed tomography, surgical findings and histology

“…Owing to the low specificity and PPV, our results show that temporal bone HR-CT is a poor indicator of coalescence. As the presence of coalescence is regarded as an indication for mastoidectomy [1,7,12,27,28], we conclude that HR-CT in isolation is not sufficient to predict whether surgery is necessary. However, because of its high sensitivity and NPV, it can be used reliably to rule out coalescence.…”

Zygomatic Abscess with Temporomandibular Joint Effusion Complicating Acute Otitis Media

“…Bacteria cultured from complicated middle ear and mastoid effusions are more resistant to regularly applied antibiotics than bacteria found in uncomplicated AOM (21). Streptococcus pneumoniae is the most frequently cultured bacteria in cases of both AOM and its complications (21).…”

“…Streptococcus pneumoniae is the most frequently cultured bacteria in cases of both AOM and its complications (21). In addition, Pseudomonas aeruginosa, Streptococcus pyogenes, and Staphylococcus aureus are frequently found in cultures of mastoid effusion in case of acute mastoiditis (3,15).…”

Simple epidemiology model for a non-immune disease with ordinary and resistant carriers

“…Resistance of the diseases to antibiotics treatment poses a serious problem in terms of the increase of mortality and prolongation of hospital stay [1,2]. As the result, instead of the first-line antibiotics one is forced to use more expensive second-or third-line ones and intensify the search and clinical tests for the new, previously unused, medicals.…”