[Bacteria and resistance to antibiotics in acute otitis media in paediatrics, depending on the geographical origin]

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Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
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Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes

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Philippe Bidet1, Catherine Doit, Edouard Bingen

  • 1Service de microbiologie, Hôpital Robert Debré, Paris.

Presse Medicale (Paris, France : 1983)
|December 10, 2003
PubMed

Insights

Acute otitis media (AOM) is common in young children, with Streptococcus pneumoniae and Haemophilus influenzae as primary bacterial culprits. Antimicrobial resistance patterns necessitate regional monitoring for effective AOM treatment strategies.

Area of Science:

  • Pediatric infectious diseases
  • Microbiology
  • Epidemiology

Background:

  • Acute otitis media (AOM) is the most frequent bacterial infection in children under five.
  • Bacteria are found in middle ear fluid in approximately two-thirds of AOM cases.
  • Prevalence of specific bacteria varies globally.

Purpose of the Study:

  • To review the epidemiology of bacteria causing AOM.
  • To examine the patterns of antimicrobial resistance in AOM pathogens.
  • To highlight the need for regional surveillance to guide antibiotic therapy.

Main Methods:

  • Literature review of bacterial epidemiology in AOM.
  • Analysis of antimicrobial resistance trends in common AOM pathogens.
  • Synthesis of data on pathogen prevalence and resistance patterns.

Main Results:

  • Streptococcus pneumoniae and Haemophilus influenzae are the most common AOM pathogens, though Moraxella catarrhalis is increasing.
  • Antimicrobial resistance, particularly penicillin-resistant S. pneumoniae and amoxycillin-resistant H. influenzae, varies significantly by region.
  • Concomitant infections with multiple organisms occur in up to 10% of cases.

Conclusions:

  • Understanding regional bacterial epidemiology and antimicrobial resistance is crucial for effective AOM management.
  • Antibiotic use and socio-economic factors influence resistance patterns.
  • Continuous monitoring is essential to adapt antibiotic treatment strategies for AOM.

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