...
首页> 外文期刊>International journal of pediatric otorhinolaryngology >Microbiology of middle ear effusions from 292 patients undergoing tympanostomy tube placement for middle ear disease.
【24h】

Microbiology of middle ear effusions from 292 patients undergoing tympanostomy tube placement for middle ear disease.

机译:292名因中耳疾病而行鼓膜置管的患者中耳积液的微生物学。

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       

摘要

OBJECTIVE:: Otitis media is one of the most commonly diagnosed childhood illnesses. Ideally, culture directed therapy for otitis media would be available, however, the common approach is to treat infections with antibiotics that cover the most common pathogens. The objective of this study is to describe the pathogens cultured from the middle ear effusions (MEE) of patients that underwent tympanostomy tube placement for middle ear disease, compare these results with previous studies, and assess for trends suggestive of changes in the microbiology of these patients. METHODS:: Patients were invited to participate after the decision to place ventilation tubes had been made. A standard anterior-inferior myringotomy was made for placement of the ventilation tube. After myringotomy, patients had their ears suctioned and all effusions were collected for microbiologic analysis. RESULTS:: A total of 292 patients were enrolled in the study, a total of 270 MEE samples were taken. Haemophilus influenzae and Moraxella catarrhalis were seen in 24 of 148 (16.2%) and 15 of 148 (10.1%), respectively. Neisseria meningitidis, Staphylococcus aureus and Corynebacterium species were each identified in 11 of the 148 pathogens isolated (7.4%). Streptococcus pneumoniae was identified in 6 of the 148 isolated pathogens (4.1%). CONCLUSION:: Despite a high number of non-pathogenic bacteria, and a high number of culture negative effusions, we demonstrated pathogen rates consistent with other reports in the literature. Future directions include using more specific techniques such as PCR to better understand the microbiology of middle ear effusions.
机译:目的:中耳炎是最常见的儿童疾病之一。理想情况下,可以采用针对中耳炎的培养指导疗法,但是,常用的方法是用覆盖最常见病原体的抗生素治疗感染。这项研究的目的是描述从中耳积液患者中耳积液(MEE)中培养出的病原体,这些患者因中耳疾病而进行了鼓膜置管,并将这些结果与以前的研究进行比较,并评估暗示这些微生物学变化的趋势。耐心。方法:在决定放置通气管后,邀请患者参加。进行标准的前下支气管切开术以放置通气管。开颅手术后,将患者的耳朵吸干,并收集所有积液进行微生物学分析。结果:共有292名患者参加了该研究,共采集了270个MEE样本。分别在148个中的24个(16.2%)和148个中的15个(10.1%)中发现了流感嗜血杆菌和卡他莫拉菌。在分离的148种病原体中的11种(7.4%)中分别鉴定出脑膜炎奈瑟氏菌,金黄色葡萄球菌和棒状杆菌。在148个分离的病原体中,有6个(4.1%)鉴定出肺炎链球菌。结论:尽管有大量的非致病细菌,并且有大量的培养阴性积液,但我们证明病原体的发生率与文献中的其他报道一致。未来的方向包括使用更特定的技术,例如PCR,以更好地了解中耳积液的微生物学。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号