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Factors associated with the presence of drug-resistant bacteria and recurrent acute otitis media in children--a study in a private clinic.

Abstract

CONCLUSIONS

The proportion of drug-resistant bacteria was lower than previous reports. In children with acute otitis media (AOM), lower age, presence of multiple bacteria, and otitis media with effusion (OME) represented significant factors for recurrent AOM and the presence of drug-resistant bacteria.

OBJECTIVE

Recently, the proportion of drug-resistant bacteria has been increasing in children with AOM. We studied the proportion of drug-resistant bacteria and background factors for detection of drug-resistant bacteria and recurrent AOM in a private clinic.

SUBJECTS AND METHODS

Subjects comprised 170 patients <12 years old with AOM. Middle ear fluid was collected and pathogenic bacteria were identified. The following factors were considered: age, sex, use of antibiotics in the past 1 month, past history of recurrent AOM, presence of OME, and multiple bacteria of the three main strains (Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis).

RESULTS

A total of 169 strains were detected in 77% of children with AOM. Drug-resistant bacteria comprised 44 of the 169 strains (26%). Lower age (p=0.001) and presence of multiple bacteria (p<0.001) represented significant factors for the presence of drug-resistant bacteria. OME was a significant factor for recurrent AOM (p<0.001).

Authors+Show Affiliations

Department of Otolaryngology, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18340553

Citation

Kikuta, Shu, et al. "Factors Associated With the Presence of Drug-resistant Bacteria and Recurrent Acute Otitis Media in Children--a Study in a Private Clinic." Acta Oto-laryngologica. Supplementum, 2007, pp. 5-8.
Kikuta S, Ushio M, Fujimaki Y, et al. Factors associated with the presence of drug-resistant bacteria and recurrent acute otitis media in children--a study in a private clinic. Acta Otolaryngol Suppl. 2007.
Kikuta, S., Ushio, M., Fujimaki, Y., & Kaga, K. (2007). Factors associated with the presence of drug-resistant bacteria and recurrent acute otitis media in children--a study in a private clinic. Acta Oto-laryngologica. Supplementum, (559), 5-8. https://doi.org/10.1080/03655230701595220
Kikuta S, et al. Factors Associated With the Presence of Drug-resistant Bacteria and Recurrent Acute Otitis Media in Children--a Study in a Private Clinic. Acta Otolaryngol Suppl. 2007;(559)5-8. PubMed PMID: 18340553.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with the presence of drug-resistant bacteria and recurrent acute otitis media in children--a study in a private clinic. AU - Kikuta,Shu, AU - Ushio,Munetaka, AU - Fujimaki,Yutaka, AU - Kaga,Kimitaka, PY - 2008/4/12/pubmed PY - 2008/4/30/medline PY - 2008/4/12/entrez SP - 5 EP - 8 JF - Acta oto-laryngologica. Supplementum JO - Acta Otolaryngol Suppl IS - 559 N2 - CONCLUSIONS: The proportion of drug-resistant bacteria was lower than previous reports. In children with acute otitis media (AOM), lower age, presence of multiple bacteria, and otitis media with effusion (OME) represented significant factors for recurrent AOM and the presence of drug-resistant bacteria. OBJECTIVE: Recently, the proportion of drug-resistant bacteria has been increasing in children with AOM. We studied the proportion of drug-resistant bacteria and background factors for detection of drug-resistant bacteria and recurrent AOM in a private clinic. SUBJECTS AND METHODS: Subjects comprised 170 patients <12 years old with AOM. Middle ear fluid was collected and pathogenic bacteria were identified. The following factors were considered: age, sex, use of antibiotics in the past 1 month, past history of recurrent AOM, presence of OME, and multiple bacteria of the three main strains (Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis). RESULTS: A total of 169 strains were detected in 77% of children with AOM. Drug-resistant bacteria comprised 44 of the 169 strains (26%). Lower age (p=0.001) and presence of multiple bacteria (p<0.001) represented significant factors for the presence of drug-resistant bacteria. OME was a significant factor for recurrent AOM (p<0.001). SN - 0365-5237 UR - https://www.unboundmedicine.com/medline/citation/18340553/Factors_associated_with_the_presence_of_drug_resistant_bacteria_and_recurrent_acute_otitis_media_in_children__a_study_in_a_private_clinic_ L2 - https://medlineplus.gov/antibioticresistance.html DB - PRIME DP - Unbound Medicine ER -