Related Experiment Video
Updated: Jul 11, 2025

Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria
Published on: February 23, 2014
[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.
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.
Background:
Only scant information is available regarding the bacteriology of acute otitis media (AOM) in neonates.
Objectives:
To investigate the bacteriology of AOM post the introduction of Pneumococcal Conjugate Vaccine (PCV13) in children younger than 3 months and its relation to the mode of delivery.
Methods:
Retrospective bacteriological analysis of middle ear fluids taken from children younger than 60 months suffering from AOM. The effect of PCV13 and mode of delivery, caesarian section vs vaginal delivery, on AOM bacteriology was evaluated and compared between children younger than 3 months (group 1) and children aged 3-60 months (group 2).
Results:
The prevalence of Streptococcus pneumoniae (S.pneumoniae) and Enterobacteriaceae (E.bact) was higher in group 1 compared to group 2, 47.1% vs 35.8% and 12.3% vs 4.3%, respectively (p<0.001), while that of Haemophilus influenza (H. influenzae) and Group A streptococcus (GAS) was higher in group 2 compared to group 1, 40.3% vs 30.1% and 17.5% vs 8.3% respectively (p<0.001). The mode of delivery did not affect AOM bacteriology. The introduction of PCV13 yielded in an increase in the prevalence of GAS (7% to 15%, P<0.001) in group 1.
Conclusions:
S. pneumoniae and E. bact are more common AOM pathogens in neonates. Also, the prevalence of GAS was increased in this age group following the introduction of PCV13.
Discussion:
Our results are applicable towards the formulation AOM treatment guidelines in neonates. This study contributed additional information on a topic that has not been adequately researched so far - neonatal AOM.
Related Concept Videos
History of Microbiology
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Tonsillitis I: Introduction
Etiology
Three primary contributing factors have been identified.
Tonsillitis II: Management
Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...

