Prediction of upper respiratory tract bacteria in acute otitis media.
Acta Otolaryngol
; 127(9): 927-31, 2007 Sep.
Article
em En
| MEDLINE
| ID: mdl-17712670
ABSTRACT
CONCLUSIONS:
Thorough otomicroscopical examination of the tympanic membrane in acute otitis media (AOM) might distinguish AOM episodes caused by different bacteria. It thus might be a way to select appropriate treatment for each patient without raising the number of dangerous complications.OBJECTIVES:
The aim of this study was to see if it might be possible to predict the causative bacterium by judging the otomicroscopical appearance of the tympanic membrane in episodes of AOM. PATIENTS ANDMETHODS:
The study was prospective. Patients suffering from non-perforated AOM were included. The tympanic membrane was photographed. A prediction of the causative bacterium was made and tympanocentesis was performed. Effusion from the middle ear and a nasopharyngeal swab were obtained for bacterial culturing. The causative bacteria were categorized into gram-positive (Streptococcus pneumoniae and S. pyogenes) or gram-negative (non-typable Haemophilus influenzae and Moraxella catarrhalis).RESULTS:
A total of 82 patients were included in the study. A correct prediction was made in 47/63, a false prediction in 16/63 (kappa 0.48, p<0.001).
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Base de dados:
MEDLINE
Assunto principal:
Membrana Timpânica
/
Otite Média com Derrame
/
Nasofaringe
/
Bactérias Gram-Negativas
/
Bactérias Gram-Positivas
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article