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Related Experiment Videos

Middle ear effusions in neonates.

T J Balkany, S A Berman, M A Simmons

    The Laryngoscope
    |March 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Suppurative middle ear effusions (MEE) are common in neonates, yet often missed in intensive care units. Early detection is crucial to prevent serious complications like sepsis and meningitis.

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    Area of Science:

    • Neonatal Medicine
    • Otolaryngology
    • Infectious Disease

    Background:

    • Suppurative middle ear effusions (MEE) are frequently observed in neonates.
    • Otoscopy is not routinely performed on septic infants in neonatal intensive care units (ICUs).
    • Unrecognized MEE can lead to bacterial dissemination into the bloodstream or central nervous system (CNS).

    Purpose of the Study:

    • To determine the prevalence of MEE in neonates.
    • To identify the bacteriology of MEE in this population.
    • To assess the response to therapy for MEE in neonates.

    Main Methods:

    • Established normal micro-otoscopic appearance of the tympanic membrane (TM) in 50 healthy newborns.
    • Conducted a prospective study of 125 infants in the neonatal ICU.

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  • Performed tympanocentesis on 34 neonates for bacteriologic analysis.

    • Main Results:

    • MEE was present in 30% of infants in the neonatal ICU.
    • Nasotracheal intubation exceeding seven days showed a strong association with suppurative MEE.
    • Suppurative MEE in neonates often proved refractory to treatment, necessitating prolonged therapy and repeated tympanocentesis.

    Conclusions:

    • Suppurative MEE is a significant concern in neonatal ICUs.
    • Routine otoscopy in septic neonates is warranted.
    • Effective treatment strategies for neonatal MEE require further investigation due to treatment refractoriness.