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Detection of bacteria in the nasopharyngeal secretion and effusion associated with serous otitis media
The Egyptian Journal of Otolaryngology volume 32, pages 21–25 (2016)
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Abstract
Objective
This study aimed at evaluating the accuracy of nasopharyngeal (NP) specimens in the identification of pathogens in the middle-ear fluid (MEF) in patients with otitis media with effusion.
Materials and methods
This was a prospective, hospital-based study with a cross-sectional design to evaluate the accuracy of NP isolates in identifying MEF pathogens and a case-control design to study NP secretion specimens taken from children undergoing an operation with no otologic indication, the middle-ear swab taken from patients undergoing stapedectomy, and middle-ear secretions taken from patients with secretory otitis media (SOM) of an older age group regarding the tympanogram result, radiograph, and endoscopy.
Results
The numbers and percentages of patients showed significant numbers of bacteria in both the MEF and the NP swap, and showed a statistically significant difference (P < 0.05).
Conclusion
Otitis media is the second most common disease of childhood and is responsible for a significant number of visits to the pediatrician. About 10% of the cases with middle-ear effusion after an episode of acute otitis media can persist for more than 3 months. Hearing loss associated with serous otitis media (SOM) can potentially have a detrimental effect on speech and language development.
References
Cumming C. Otolaryngology — head and neck surgery. 2nd edition, Mosby year book, USA, Vol 2, Chapter 194. 1993, p. 2764.
Oestreicher-Kedem Y, Raveh E, Kornreich L, Popovtzer A, Buller N, Nageris B. Complications of mastoiditis in children at the onset of a new millennium. Ann Otol Rhinol Laryngeal 2005; 114: 147–152.
Catten MD, Murr AH, Goldstein JA, Mhatre AN, Lalwani AK. Detection of fungi in the nasal mucosa using polymerase chain reaction. Laryngoscope 2001; 111: 399–403.
Romer AS; Parsons TS. The vertebrate body. Teele DW, Klein JO, Rosner B. Greater Boston Otitis Media Study Group. The vertebrate body. Philadelphia, PA: Holt-Saunders International. 1977. p. 480–488.
George AM, Jones PM, Middleton PG. Cystic ¢brosis infections: treatment strategies and prospects [Guideline] Rosenfeld RM, Culpepper L, Doyle KJ. Clinical practice guideline: otitis media with effusion. Am Fam Physician 2004; 69: 2778–2779.
Virolainen A, Salo P, Jero J, Karma P, Eskola J, Leinonen M. Comparison of PCR assay with bacterial culture for detecting Streptococcus pneumoniae in middle ear fluid of children with acute otitis media. J Clin Microbiol 1994; 32: 2667–2670.
Peled N, Yagupsky P. Improved detection of Streptococcus pneumoniae in middle-ear fluid cultures by use of a gentamicin-containing medium. J Clin Microbiol 1999; 37: 3415–3416.
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El Fouly, M., Hegazy, M.A., Shawky, A. et al. Detection of bacteria in the nasopharyngeal secretion and effusion associated with serous otitis media. Egypt J Otolaryngol 32, 21–25 (2016). https://doi.org/10.4103/1012-5574.175799
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DOI: https://doi.org/10.4103/1012-5574.175799