유소아 급성 중이염의 임상양상 및 원인균 분석: 다기관 연구

박수경; 이민주; 이규호; 최형준; 김진환; 이준호; 이효정; 홍석민; 홍성광; 김형종

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자료유형: 학술저널

저자정보: 박수경 이민주 이규호 최형준 김진환 이준호 이효정 홍석민 홍성광 김형종

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제57권 제1호

발행연도: 2014.1

수록면: 15 - 21 (7page)

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Background and Objectives Acute otitis media (AOM) is one of the most common forms of bacterial infection in children. The aim of this study was to investigate the clinical characteristics and the common pathogens of AOM children who visited three different centers. Subjects and Method We have conducted a retrospective study of 133 children under 15 years with the diagnosis of AOM that had been seen between January 2010 and January 2011. We examined of AOM children’s symptoms, signs and culture results. Results The most common symptoms were in the order of crying or irritability, otalgia and fever. Otorrhea was significantly higher under 2 years old and drum injection was over 2 years old. The most common pathogens were Streptococcus pneumoniae (26.6%), followed by Moraxella catarrhalis (19.0%), Haemophilus influenzae (11.4%) and Staphylococcus aureus (11.4%). Among the total pathogens, about 71% of pathogens were resistant to amoxicillin, 78% to macroride, and 55.2% to clindamycin. About 58.3% of H. influenza and M. catarrhalis were positive to β-lactamase. Conclusion More than half of pathogens were resistant to standard dose amoxicillin. For the appropriate treatment of AOM, decisions were made based on the common symptoms, signs and antibiotic resistances of pathogens. Korean J Otorhinolaryngol-Head Neck Surg 2014;57:15-21

#Acute disease #Bacterial #Child #Otitis media

참고문헌 (20)

참고문헌 신청

American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media / 2004 / Diagnosis and management of acute otitis media / Pediatrics 113 (5) : 1451 ~ 1465

Casey JR / 2004 / Changes in frequency and pathogens causing acute otitis media in 1995-2003 / Pediatr Infect Dis J 23 (9) : 824 ~ 828

Fujioka M / 1979 / Radiographic evaluation of adenoidal size in children: adenoidal-nasopharyngeal ratio / AJR Am J Roentgenol 133 (3) : 401 ~ 404

Kim CS / 1981 / A statistical study of otitis media in Korea / Korean J Otolaryngol 24 (4) : 505 ~ 513

Laufer AS / 2011 / Microbial communities of the upper respiratory tract and otitis media in children / MBio 2 (1) : e00245 ~ e00310

이 논문의 저자 정보

박수경

소속기관 Department of Otorhinolaryngology-Head and Neck Surgery, Research Institute for Medical Science, Chungnam National University College of Medicine, Da