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[Distribution and drug resistance analysis of secretion pathogens in 90 children with acute otitis media]

G B Li1, M B Xu1

  • 1Department of Otolaryngology，Putuo District People's Hospital，Zhoushan，316100，China.

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
|January 9, 2020
PubMed

Insights

Streptococcus pneumoniae is the primary cause of acute otitis media in children under three. Antibiotic resistance patterns vary significantly, highlighting the need for targeted treatment strategies.

Area of Science:

  • Pediatrics
  • Microbiology
  • Infectious Diseases

Background:

  • Acute otitis media (AOM) is a common childhood infection.
  • Identifying causative pathogens and their antibiotic susceptibility is crucial for effective treatment.

Purpose of the Study:

  • To determine the distribution of pathogenic bacteria in pediatric AOM.
  • To analyze the antibiotic resistance patterns of these bacteria, particularly Streptococcus pneumoniae.

Main Methods:

  • Retrospective analysis of clinical data from 90 pediatric AOM patients.
  • Bacterial pathogen identification and antibiotic susceptibility testing.
  • Age-based grouping ( <1, 1-3, >3 years) to compare pathogen prevalence.

Main Results:

  • Pathogen detection rate was 75.6%, with Streptococcus pneumoniae being the most prevalent (61.8%).
  • Streptococcus pneumoniae was significantly more common in children under 3 years old (Groups A and B) compared to older children (Group C).
  • Variable resistance rates of Streptococcus pneumoniae to different antibacterial agents were observed.

Conclusions:

  • Streptococcus pneumoniae is the predominant pathogen in pediatric AOM patients under 3 years of age.
  • Antibiotic resistance varies among different antibacterial drugs, necessitating careful selection for treatment.

Keywords:
childdrug resistanceotitis mediapathogenic bacteria

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