[Fungal otitis externa in children: principles of diagnosis and rational therapy]

A I Kryukov1, N L Kunelskaya1, V Ya Kunelskaya2

  • 1Pirogov Russian National Research Medical University of the Ministry of Health of Russia, Department of Otolaryngology of Cure Faculty, Moscow, Russia, 117997; Sverzhevsky Research Clinical Institute of Otorhinolaryngology of the Moscow Healthcare Department, Moscow, Russia, 117152.

Abstract

Insights

Fungal infections of the ear canal in children are diagnosed and treated based on the specific fungus identified. This study highlights key causative agents and treatment rationales for pediatric external fungal otitis media.

Area of Science:

  • Otolaryngology
  • Pediatric Infectious Diseases
  • Mycology

Background:

  • Fungal infections of the external auditory canal (EAC) are a common pediatric concern.
  • Predisposing factors for pediatric EAC fungal infections require comprehensive understanding.

Purpose of the Study:

  • To review current diagnostic and treatment strategies for fungal inflammation of the EAC in children.
  • To summarize literature on predisposing factors for pediatric EAC fungal infections.

Main Methods:

  • Literature review on predisposing factors.
  • Presentation of modern diagnostic and treatment approaches for external fungal otitis media in children.
  • Classification of treatments based on isolated fungal genera and species.

Main Results:

  • The incidence of external fungal otitis media in children was found to be 13.0% between 2015 and 2017.
  • The primary fungal genera identified were Aspergillus, Candida, and Geotrichum.
  • Microbiological data informed the selection of treatment regimens.

Conclusions:

  • Treatment strategies for pediatric external fungal otitis media should be guided by microbiological findings.
  • Accurate diagnosis and targeted treatment are crucial for managing fungal EAC infections in children.

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