de Miguel Martínez Isabel, Ramos Macías Angel, Masgoret Palau Elisabeth
Servicio de Microbiología, Complejo Hospitalario Universitario Insular-Maternoinfantil de Gran Canaria, Universidad de Las Palmas, Las Palmas de Gran Canaria, Las Palmas, España.
Acta Otorrinolaringol Esp. 2007 Nov;58(9):408-12.
Our main aim is to analyze the bacterial involvement in otitis media with effusion (OME) and its effect on antimicrobial therapy.
A prospective study is carried out on a total of 70 children from 1 to 12 years of age distributed in 2 groups: the first is a control group of 30 healthy children and the second group comprises 40 children with OME. The surgical samples obtained from the middle ear were processed for bacterial analysis.
In 72.5 % of OMEs, the bacterial cultures were positive. The micro-organisms isolated were: Alloiococcus otitidis (48.27 %), followed by Haemophilus influenzae not serotype B (17.24 %), Staphylococcus aureus (n = 2), and Streptococcus pneumoniae (n = 1).
In the healthy ear, the ear cavity is sterile. In most OMEs, bacteria such as Alloiococcus otitidis are identified. Knowing which bacterium is involved is essential for the prognosis and treatment of otitis media with effusion, as the high frequency of its presentation may be linked to the aetiology and/or course of the process in many patients.
我们的主要目的是分析积液性中耳炎（OME）中的细菌感染情况及其对抗菌治疗的影响。
对70名1至12岁的儿童进行了一项前瞻性研究，分为两组：第一组是30名健康儿童组成的对照组，第二组包括40名患有OME的儿童。对从中耳获取的手术样本进行细菌分析。
在72.5%的OME病例中，细菌培养呈阳性。分离出的微生物有：耳炎差异球菌（48.27%），其次是非B型流感嗜血杆菌（17.24%）、金黄色葡萄球菌（n = 2）和肺炎链球菌（n = 1）。
在健康耳朵中，中耳腔是无菌的。在大多数OME病例中，可鉴定出如耳炎差异球菌等细菌。了解涉及哪种细菌对于积液性中耳炎的预后和治疗至关重要，因为其高出现频率可能与许多患者病情的病因和/或病程有关。
