Essaadi M, François M, Mariani P
Service ORL, hôpital Robert-Debré, Paris, France.
Arch Pediatr. 1997 Apr;4(4):325-30. doi: 10.1016/s0929-693x(97)86448-2.
Purulent otorrhea is the most common complication of tympanostomy tubes.
Results of culture of otorrhea in 33 consecutive cases were compared to two similar studies performed 4 and 8 years ago in the same institution.
The most frequent organisms were Pseudomonas aeruginosa, Haemophilus influenzae, Staphylococcus aureus and Streptococcus pneumoniae (45, 24, 21 and 15% of the cases, respectively). Such flora resembles that of external otitis and chronic otitis media (P aeruginosa and S pneumoniae).
Sensitivity of the organisms encountered in these otorrheas favors the use of topical drops rather than oral antibiotics as the first choice of treatment.
