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Impact of resistant pneumococcus on rates of acute mastoiditis

P J Antonelli1, N Dhanani, C M Giannoni

  • 1Department of Otolaryngology, University of Florida College of Medicine,Gainesville 32610, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|September 3, 1999
PubMed
Abstract

Insights

The rate of acute mastoiditis is increasing, potentially due to antibiotic-resistant Streptococcus pneumoniae. This study highlights a concerning trend in pediatric ear infections.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Pediatrics

Background:

  • Acute mastoiditis is a serious complication of middle ear infections.
  • The rise of antibiotic-resistant bacteria poses a significant threat to public health.
  • Understanding trends in mastoiditis is crucial for effective treatment strategies.

Purpose of the Study:

  • To investigate the trend of acute mastoiditis incidence.
  • To determine if antibiotic-resistant Streptococcus pneumoniae contributes to this trend.

Main Methods:

  • Retrospective chart review of acute mastoiditis cases from 1987-1997.
  • Analysis of case numbers stratified by pathogen and year.
  • Comparison of mastoiditis rates against yearly otorhinolaryngology admissions.

Main Results:

  • A linear increase in acute mastoiditis rates was observed over the study period.
  • Pneumococcal-related mastoiditis rates also showed a significant linear increase.
  • Penicillin-resistant Streptococcus pneumoniae caused most pneumococcal mastoiditis cases in recent years.

Conclusions:

  • Antibiotic-resistant Streptococcus pneumoniae is a likely factor in the rising incidence of acute mastoiditis.
  • This finding underscores the need for vigilant monitoring and updated treatment guidelines.

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