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Microbiological Results From Middle Ear Effusion in Pediatric Patients Receiving Ventilation Tube Insertion: Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion: Part I.

Microbiological Results From Middle Ear Effusion in Pediatric Patients Receiving Ventilation Tube Insertion: Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion: Part I.

Authors :
Yoo MH
Cho YS
Choi J
Choung YH
Chung JH
Chung JW
Han GC
Jeon EJ
Jun BC
Kim DK
Kim KS
Lee JH
Lee KY
Lee SH
Moon IS
Park HJ
Park SN
Rhee J
Seo JH
Yeo SG
Source :
Clinical and experimental otorhinolaryngology [Clin Exp Otorhinolaryngol] 2018 Sep; Vol. 11 (3), pp. 181-185. Date of Electronic Publication: 2018 Mar 28.
Publication Year :
2018

Abstract

Objectives: The aim of this multicenter registry study was to investigate the effectiveness of ventilation tube insertion and the microbiology of otitis media with effusion (OME) in children. This part I study was conducted to evaluate the microbiological profile of children with OME who needed ventilation tube insertion.<br />Methods: Patients <15 years old who were diagnosed as having OME and received ventilation tube insertion were prospectively enrolled in 16 tertiary hospitals from June 2014 to December 2016. After excluding patients with missing data, the data of 397 patients were analyzed among a total of 433 enrolled patients. The clinical symptoms, findings of the tympanic membrane, hearing level, and microbiological findings were collected.<br />Results: In 103 patients (25.9%), antibiotics were used within 3 weeks before surgery. Ventilation tube insertion was performed in a total of 710 ears (626 in both ears in 313 patients, 55 in the left ear only, and 29 in the right ear only). Culture of middle ear effusion was done in at least one ear in 221 patients (55.7%), and in a total of 346 ears. Only 46 ears (13.3%) showed positive results in middle ear effusion culture. Haemophilus influenzae (17.3%, followed by coagulase-negative Staphylococcus and Staphylococcus auricularis ) was the most common bacteria detected.<br />Conclusion: H. influenzae was the most commonly found bacteria in middle ear effusion. Relatively low rates of culture positivity were noted in middle ear effusion of patients with OME in Korea.

Details

Language :
English
ISSN :
1976-8710
Volume :
11
Issue :
3
Database :
MEDLINE
Journal :
Clinical and experimental otorhinolaryngology
Publication Type :
Academic Journal
Accession number :
29587475
Full Text :
https://doi.org/10.21053/ceo.2017.01473