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Prediction of upper respiratory tract bacteria in acute otitis media

Foglé-Hansson, Margaretha LU ; White, Peter LU and Hermansson, Ann LU (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)
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author
organization
publishing date
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
2007-12-10 13:33:15
date last changed
2017-01-01 07:19:36
@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 &lt; 0.001).},
  author       = {Foglé-Hansson, Margaretha and White, Peter and Hermansson, Ann},
  issn         = {1651-2251},
  keyword      = {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},
  volume       = {127},
  year         = {2007},
}