| Prevention of acute mastoiditis: fact or fiction? | |
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MedLine Citation:
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PMID: 11115685 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute mastoiditis is the most common complication of acute otitis media (AOM). In recent years routine antibiotic treatment for acute middle ear infections was questioned and even abandoned in some countries. The goal of our study was to investigate the influence of antibiotic treatment on the occurrence and clinical outcome of acute mastoiditis and to analyze the bacteriological findings. A retrospective case record study of 48 patients with 50 episodes of acute mastoiditis hospitalized at our tertiary-care center between 1992 and 1999 was performed. Twenty-three patients (48%) received antibiotic treatment before admission whereas 25 (52%) did not. The group of patients without antibiotic pretreatment were younger (mean, 6 years) than patients with antibiotics (mean, 18 years) and their referral was delayed. The most common isolated single pathogen was Streptococcus pneumoniae. All pneumococci were sensitive to penicillin. Acute mastoiditis may be the first clinical sign of a middle ear infection, especially in very young children. Adequate antibiotic pretreatment cannot invariably prevent the development of acute mastoiditis even in the absence of penicillin resistant pathogens. |
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Authors:
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T E Linder; H R Briner; T Bischoff |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International journal of pediatric otorhinolaryngology Volume: 56 ISSN: 0165-5876 ISO Abbreviation: Int. J. Pediatr. Otorhinolaryngol. Publication Date: 2000 Dec |
Date Detail:
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Created Date: 2001-01-24 Completed Date: 2001-01-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8003603 Medline TA: Int J Pediatr Otorhinolaryngol Country: IRELAND |
Other Details:
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Languages: eng Pagination: 129-34 Citation Subset: IM |
Affiliation:
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Head and Neck Surgery, Department of Otorhinolaryngology, University Hospital of Zurich, Frauenklinikstr. 24, CH-8091, Zurich, Switzerland. linder@orl.usz.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Anti-Bacterial Agents / therapeutic use* Child Child, Preschool Female Humans Infant Male Mastoiditis / etiology, microbiology, prevention & control* Middle Aged Otitis Media / complications Retrospective Studies Streptococcal Infections / microbiology, prevention & control* Streptococcus pneumoniae / isolation & purification Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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