Otitis media acuta
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2012, Vol 1, Issue 3
Abstract
Acute otitis media (AOM) is the inflmmation of the middle ear cleft of rapid onset with the presence of local and general signs and symptoms of inflmmatory reaction associated with purulent effusion in the middle ear. Acute otitis media is one of the most frequent diseases in young children, its incidence appears highest between 6–18 months of age. Usually it is caused by ascending infection from the nasopharyngs through the Eustachian tube. Both bacterial and viral infections are implicated. Most common bacterial pathogens are: S. pneumoniae, H. inflenzae, M. catharralis. Diagnosis is based on otoscopic examination. In otoscopy bulging tympanic membrane Has highest predictive value for AOM. In majority of children above the age of 2 years spontaneous resolution of AOM can be observed. For this reason “watchful waiting” strategy is recommended which means limiting management to adequate pain relief and introducing antibiotics only in children who fail to improve. Antibiotic are indicated for children <6 months of age, with severe course of disease – high fever and vomiting, discharge from the ear, bilateral AOM, from the group of risk of abnormal clinical course (Down syndrome, cleft palate, recurrent AOM etc.) and lack of spontaneous improvement after 24–48 hours of symptomatic treatment. The preferred antibiotic is amoxicillin. Myringotomy is reserved for severe cases with potential or confimed complications, lack of response on antibacterial therapy, patients with immunological defiiencies or when microbiology is strongly required.
Authors and Affiliations
Elżbieta Hassmann-Poznańska
Keywords
Related Articles
- EP ID EP51055
- DOI -
- Views 210
- Downloads 0
Quiz
Mnogie pierwotne nowotwory złośliwe głowy i szyi: opis przypadku
Billroth was the first who introduced the concept that a patient could develop cancer twice. The last two decades have seen a widespread increase of the problem of second primary tumors (SPT). This fact led us to concern...
Zastosowanie Volume-Viscosity Screening Test jako przesiewowego narzędzia w diagnostyce zaburzeń połykania
Powszechnie wiadomo, że występowanie dysfagii wiąże się z konsekwencjami zarówno pierwotnymi (niedożywienie, odwodnienie, zachłystowe zapalenia płuc), jak i wtórnymi (dłuższy czas hospitalizacji, zwiększone koszty leczen...
Różnicowanie niedosłuchów ciężkich od głębokich u niemowląt i małych dzieci przy użyciu ASSR ,,CE-Chirp’’
Introduction: One of the most difficult tasks in pediatric audiology is to assess the precisely hearing level of the child in the first months of life. It is rather impossible to acquire frequency specific responses prec...
Falls – epidemiology, risk factors and prevention strategy
Falls and their consequences constitut e the most importa nt challenge of geriatric health care. Among fall -related complica tions the most freque nt are injuries, with the especially devastating hip fr acture. Number o...