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Non-typeable Haemophilus influenzae and Streptococcus pneumoniae as primary causes of acute otitis media in colombian children: a prospective study.
BMC Infect Dis 2011; 11:4BI

Abstract

BACKGROUND

Acute otitis media (AOM) is one of the most frequently encountered bacterial infections in children aged < 5 years; Streptococcus pneumoniae (S. pneumoniae) and non-typeable Haemophilus influenzae (NTHi) are historically identified as primary AOM causes. Nevertheless, recent data on bacterial pathogens causing AOM in Latin America are limited. This prospective study aimed to identify and characterize bacterial etiology and serotypes of AOM cases including antimicrobial susceptibility in < 5 year old Colombian children.

METHODS

From February 2008 to January 2009, children ≥3 months and < 5 years of age presenting with AOM and for whom a middle ear fluid (MEF) sample was available were enrolled in two medical centers in Cali, Colombia. MEF samples were collected either by tympanocentesis procedure or spontaneous otorrhea swab sampling. Bacteria were identified using standard laboratory methods, and antimicrobial resistance testing was performed based on the 2009 Clinical and Laboratory Standards Institute (CLSI) criteria. Most of the cases included in the study were sporadic in nature.

RESULTS

Of the 106 enrolled children, 99 were included in the analysis. Bacteria were cultured from 62/99 (63%) of samples with S. pneumoniae, H. influenzae, or S. pyogenes. The most commonly isolated bacteria were H. influenzae in 31/99 (31%) and S. pneumoniae in 30/99 (30%) of samples. The majority of H. influenzae episodes were NTHi (27/31; 87%). 19F was the most frequently isolated pneumococcal serotype (10/30; 33%). Of the 30 S. pneumoniae positive samples, 8/30 (27%) were resistant to tetracycline, 5/30 (17%) to erythromycin and 8/30 (27%) had intermediate resistance to penicillin. All H. influenzae isolates tested were negative to beta-lactamase.

CONCLUSIONS

NTHi and S. pneumoniae are the leading causes of AOM in Colombian children. A pneumococcal conjugate vaccine that prevents both pathogens could be useful in maximizing protection against AOM.

Authors+Show Affiliations

Centro de Estudios en Infectologia Pediatrica CEIP, Cali, Colombia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21208431

Citation

Sierra, Alexandra, et al. "Non-typeable Haemophilus Influenzae and Streptococcus Pneumoniae as Primary Causes of Acute Otitis Media in Colombian Children: a Prospective Study." BMC Infectious Diseases, vol. 11, 2011, p. 4.
Sierra A, Lopez P, Zapata MA, et al. Non-typeable Haemophilus influenzae and Streptococcus pneumoniae as primary causes of acute otitis media in colombian children: a prospective study. BMC Infect Dis. 2011;11:4.
Sierra, A., Lopez, P., Zapata, M. A., Vanegas, B., Castrejon, M. M., Deantonio, R., ... Colindres, R. E. (2011). Non-typeable Haemophilus influenzae and Streptococcus pneumoniae as primary causes of acute otitis media in colombian children: a prospective study. BMC Infectious Diseases, 11, p. 4. doi:10.1186/1471-2334-11-4.
Sierra A, et al. Non-typeable Haemophilus Influenzae and Streptococcus Pneumoniae as Primary Causes of Acute Otitis Media in Colombian Children: a Prospective Study. BMC Infect Dis. 2011 Jan 5;11:4. PubMed PMID: 21208431.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-typeable Haemophilus influenzae and Streptococcus pneumoniae as primary causes of acute otitis media in colombian children: a prospective study. AU - Sierra,Alexandra, AU - Lopez,Pio, AU - Zapata,Mercedes A, AU - Vanegas,Beatriz, AU - Castrejon,Maria M, AU - Deantonio,Rodrigo, AU - Hausdorff,William P, AU - Colindres,Romulo E, Y1 - 2011/01/05/ PY - 2010/09/30/received PY - 2011/01/05/accepted PY - 2011/1/7/entrez PY - 2011/1/7/pubmed PY - 2011/5/4/medline SP - 4 EP - 4 JF - BMC infectious diseases JO - BMC Infect. Dis. VL - 11 N2 - BACKGROUND: Acute otitis media (AOM) is one of the most frequently encountered bacterial infections in children aged < 5 years; Streptococcus pneumoniae (S. pneumoniae) and non-typeable Haemophilus influenzae (NTHi) are historically identified as primary AOM causes. Nevertheless, recent data on bacterial pathogens causing AOM in Latin America are limited. This prospective study aimed to identify and characterize bacterial etiology and serotypes of AOM cases including antimicrobial susceptibility in < 5 year old Colombian children. METHODS: From February 2008 to January 2009, children ≥3 months and < 5 years of age presenting with AOM and for whom a middle ear fluid (MEF) sample was available were enrolled in two medical centers in Cali, Colombia. MEF samples were collected either by tympanocentesis procedure or spontaneous otorrhea swab sampling. Bacteria were identified using standard laboratory methods, and antimicrobial resistance testing was performed based on the 2009 Clinical and Laboratory Standards Institute (CLSI) criteria. Most of the cases included in the study were sporadic in nature. RESULTS: Of the 106 enrolled children, 99 were included in the analysis. Bacteria were cultured from 62/99 (63%) of samples with S. pneumoniae, H. influenzae, or S. pyogenes. The most commonly isolated bacteria were H. influenzae in 31/99 (31%) and S. pneumoniae in 30/99 (30%) of samples. The majority of H. influenzae episodes were NTHi (27/31; 87%). 19F was the most frequently isolated pneumococcal serotype (10/30; 33%). Of the 30 S. pneumoniae positive samples, 8/30 (27%) were resistant to tetracycline, 5/30 (17%) to erythromycin and 8/30 (27%) had intermediate resistance to penicillin. All H. influenzae isolates tested were negative to beta-lactamase. CONCLUSIONS: NTHi and S. pneumoniae are the leading causes of AOM in Colombian children. A pneumococcal conjugate vaccine that prevents both pathogens could be useful in maximizing protection against AOM. SN - 1471-2334 UR - https://www.unboundmedicine.com/medline/citation/21208431/Non_typeable_Haemophilus_influenzae_and_Streptococcus_pneumoniae_as_primary_causes_of_acute_otitis_media_in_colombian_children:_a_prospective_study_ L2 - https://bmcinfectdis.biomedcentral.com/articles/10.1186/1471-2334-11-4 DB - PRIME DP - Unbound Medicine ER -