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[Features of bacterial microbiota in acute purulent otitis media in children]

M R Bogomilsky1, S A Kulmakov1,2, Yu L Soldatsky2

  • 1Pirogov Russian National Research Medical University, Moscow, Russia.

Vestnik Otorinolaringologii
|July 16, 2021
PubMed
Abstract

Insights

Common bacteria causing acute purulent otitis media (APOM) in Moscow children include Streptococcus pneumoniae and Staphylococcus aureus. Vaccination against pneumococcal infection may help reduce antibiotic resistance.

Area of Science:

  • Pediatric infectious diseases
  • Microbiology
  • Otolaryngology

Background:

  • Acute purulent otitis media (APOM) is a common childhood infection.
  • Understanding local pathogen spectrum and antibiotic resistance is crucial for effective treatment.

Purpose of the Study:

  • To identify bacterial pathogens causing APOM in children in the Moscow region.
  • To determine the antibiotic sensitivity of these pathogens.

Main Methods:

  • Retrospective analysis of 1,864 children diagnosed with APOM.
  • Data collected from Morozovskaya Pediatric Municipal Clinical Hospital (July 2018 - June 2020).

Main Results:

  • Leading pathogens: Streptococcus pneumoniae (28.0%), Staphylococcus aureus (27.2%), Streptococcus pyogenes (22.2%).
  • Haemophilus influenzae (7.8%) and Pseudomonas aeruginosa (6.5%) were also identified.
  • Increased resistance of S. pneumoniae to oxacillin (11.64%) was observed.

Conclusions:

  • Pneumococcal vaccination is a viable strategy to combat rising S. pneumoniae antibiotic resistance.
  • Data supports targeted antibiotic use and preventative measures.
Keywords:
acute purulent otitis mediaantibacterial drugschildrenmicrobiota

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