Schwartz L E, Brown R B
Department of Medicine, Baystate Medical Center, Springfield, MA 01199.
Arch Intern Med. 1992 Nov;152(11):2301-4.
While the bacterial origin of otitis media has been studied extensively in children, there are few data regarding adults with this disease. We undertook this study to identify the incidence, prevalence, and bacteriologic origin of purulent otitis media in adults. This was accomplished through a review of the English-language literature on adult otitis media and a retrospective review of adult patients with this disease who were hospitalized at our institution. Results of literature review indicate that Streptococcus pneumoniae and Haemophilus influenzae are the most common causes of otitis media in ambulatory adults, but this illness is uncommon, with an incidence of only 0.25%. Hospitalized patients in whom this diagnosis was established suffered a variety of serious suppurative complications such as mastoiditis, meningitis, or brain abscess. Otalgia and fever were the most common symptoms noted in this patient population. Further studies of adult otitis media need to be performed to determine bacteriologic, symptomatic, and high-risk patient groups.
虽然中耳炎的细菌起源在儿童中已得到广泛研究，但关于患有这种疾病的成年人的数据却很少。我们开展这项研究以确定成人化脓性中耳炎的发病率、患病率和细菌学起源。这是通过回顾关于成人中耳炎的英文文献以及对在我们机构住院的患有这种疾病的成年患者进行回顾性研究来完成的。文献回顾结果表明，肺炎链球菌和流感嗜血杆菌是门诊成人中耳炎最常见的病因，但这种疾病并不常见，发病率仅为0.25%。确诊为此病的住院患者出现了各种严重的化脓性并发症，如乳突炎、脑膜炎或脑脓肿。耳痛和发热是该患者群体中最常见的症状。需要对成人中耳炎进行进一步研究，以确定细菌学、症状学和高危患者群体。
