Prediction of upper respiratory tract bacteria in acute otitis media
(2007) In Acta Oto-Laryngologica 127(9). p.927-931- Abstract
- Conclusions. Thorough otomicroscopical examination of the tympanic membrane in acute otitis media (AOM) might distinguish AOM episodes caused by different bacteria. It thus might be a way to select appropriate treatment for each patient without raising the number of dangerous complications. Objectives. The aim of this study was to see if it might be possible to predict the causative bacterium by judging the otomicroscopical appearance of the tympanic membrane in episodes of AOM. Patients and methods. The study was prospective. Patients suffering from non-perforated AOM were included. The tympanic membrane was photographed. A prediction of the causative bacterium was made and tympanocentesis was performed. Effusion from the middle ear and a... (More)
- Conclusions. Thorough otomicroscopical examination of the tympanic membrane in acute otitis media (AOM) might distinguish AOM episodes caused by different bacteria. It thus might be a way to select appropriate treatment for each patient without raising the number of dangerous complications. Objectives. The aim of this study was to see if it might be possible to predict the causative bacterium by judging the otomicroscopical appearance of the tympanic membrane in episodes of AOM. Patients and methods. The study was prospective. Patients suffering from non-perforated AOM were included. The tympanic membrane was photographed. A prediction of the causative bacterium was made and tympanocentesis was performed. Effusion from the middle ear and a nasopharyngeal swab were obtained for bacterial culturing. The causative bacteria were categorized into gram-positive (Streptococcus pneumoniae and S. pyogenes) or gram-negative (non-typable Haemophilus influenzae and Moraxella catarrhalis). Results. A total of 82 patients were included in the study. A correct prediction was made in 47/63, a false prediction in 16/63 ( kappa 0.48, p < 0.001). (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/692961
- author
- Foglé-Hansson, Margaretha LU ; White, Peter LU and Hermansson, Ann LU
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- photodocumentation, otomicroscopy, tympanic membrane, treatment, watchful waiting
- in
- Acta Oto-Laryngologica
- volume
- 127
- issue
- 9
- pages
- 927 - 931
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000248942100005
- scopus:34548304981
- ISSN
- 1651-2251
- DOI
- 10.1080/00016480601091719
- language
- English
- LU publication?
- yes
- id
- 3fecfdaf-d6e0-4f2a-9a61-b12f9e6468f9 (old id 692961)
- date added to LUP
- 2016-04-01 16:56:58
- date last changed
- 2022-03-22 22:18:33
@article{3fecfdaf-d6e0-4f2a-9a61-b12f9e6468f9, abstract = {{Conclusions. Thorough otomicroscopical examination of the tympanic membrane in acute otitis media (AOM) might distinguish AOM episodes caused by different bacteria. It thus might be a way to select appropriate treatment for each patient without raising the number of dangerous complications. Objectives. The aim of this study was to see if it might be possible to predict the causative bacterium by judging the otomicroscopical appearance of the tympanic membrane in episodes of AOM. Patients and methods. The study was prospective. Patients suffering from non-perforated AOM were included. The tympanic membrane was photographed. A prediction of the causative bacterium was made and tympanocentesis was performed. Effusion from the middle ear and a nasopharyngeal swab were obtained for bacterial culturing. The causative bacteria were categorized into gram-positive (Streptococcus pneumoniae and S. pyogenes) or gram-negative (non-typable Haemophilus influenzae and Moraxella catarrhalis). Results. A total of 82 patients were included in the study. A correct prediction was made in 47/63, a false prediction in 16/63 ( kappa 0.48, p < 0.001).}}, author = {{Foglé-Hansson, Margaretha and White, Peter and Hermansson, Ann}}, issn = {{1651-2251}}, keywords = {{photodocumentation; otomicroscopy; tympanic membrane; treatment; watchful waiting}}, language = {{eng}}, number = {{9}}, pages = {{927--931}}, publisher = {{Taylor & Francis}}, series = {{Acta Oto-Laryngologica}}, title = {{Prediction of upper respiratory tract bacteria in acute otitis media}}, url = {{http://dx.doi.org/10.1080/00016480601091719}}, doi = {{10.1080/00016480601091719}}, volume = {{127}}, year = {{2007}}, }