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Bacteriology of medically refractory acute otitis media in children: a 9-year retrospective study.

Authors
  • Shiao, An-Suey
  • Guo, Yuan-Ching
  • Hsieh, Shun-Ta
  • Tsai, Tung-Lung
Type
Published Article
Journal
International Journal of Pediatric Otorhinolaryngology
Publisher
Elsevier
Publication Date
Jun 01, 2004
Volume
68
Issue
6
Pages
759–765
Identifiers
PMID: 15126016
Source
Medline
License
Unknown

Abstract

The distribution of organisms in our medically refractory AOM cases differed from that for simple AOM, with gram-positive bacteria having significantly higher rates of incidence. Combining intravenous aminoglycoside with first-generation cephalosporin is considered an inexpensive and effective treatment covering all potential microorganisms. Vancomycin or third-generation cephalosporins are only needed for major complications or other coincident infections extant during the initial presentation.

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