[ACUTE OTITIS MEDIA BACTERIOLOGY IN CHILDREN YOUNGER THAN THREE MONTHS IN THE LAST 16 YEARS]

Miki Paker1, Elena Pichkhadze1, Dan Miron2

  • 1Department of Otolaryngology, Head and Neck Surgery, Ha'Emek Medical Center, Afula, Israel.

Harefuah
|November 15, 2023
PubMed

Insights

Neonatal acute otitis media (AOM) is often caused by Streptococcus pneumoniae and Enterobacteriaceae. Following Pneumococcal Conjugate Vaccine (PCV13) introduction, Group A Streptococcus prevalence increased in infants under three months.

Area of Science:

  • Otolaryngology
  • Pediatric Infectious Diseases
  • Microbiology

Context:

  • Limited data exists on the bacteriology of acute otitis media (AOM) in neonates.
  • The impact of the Pneumococcal Conjugate Vaccine (PCV13) on AOM pathogens in young children is an area of ongoing research.
  • Understanding AOM etiology in neonates is crucial for effective treatment strategies.

Purpose:

  • To investigate the bacteriology of AOM in children under three months post-PCV13 introduction.
  • To determine the relationship between AOM pathogens and the mode of delivery (cesarean vs. vaginal) in neonates.
  • To compare AOM bacteriology between neonates (group 1) and older children (group 2).

Summary:

  • Streptococcus pneumoniae and Enterobacteriaceae were more prevalent in neonates (group 1) compared to older children (group 2).
  • Haemophilus influenzae and Group A Streptococcus (GAS) were more common in older children (group 2).
  • PCV13 introduction correlated with an increased prevalence of GAS in neonates, while the mode of delivery showed no significant effect on AOM bacteriology.

Impact:

  • Findings suggest Streptococcus pneumoniae and Enterobacteriaceae are key pathogens in neonatal AOM.
  • The study highlights an increased prevalence of GAS in neonates post-PCV13, necessitating updated treatment guidelines.
  • This research contributes vital information to the under-researched area of neonatal AOM, aiding in guideline development.
Abstract

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