Microbiological Results From Middle Ear Effusion in Pediatric Patients Receiving Ventilation Tube Insertion: Multicenter Registry Study on the Effectiveness of Ventilation Tube Insertion in Pediatric Patients With Chronic Otitis Media With Effusion: Part .
- Author:
Myung Hoon YOO
1
;
Yang Sun CHO
;
June CHOI
;
Yun Hoon CHOUNG
;
Jae Ho CHUNG
;
Jong Woo CHUNG
;
Gyu Cheol HAN
;
Eun Ju JEON
;
Beom Cho JUN
;
Dong Kee KIM
;
Kyu Sung KIM
;
Jun Ho LEE
;
Kyu Yup LEE
;
Seung Hwan LEE
;
In Seok MOON
;
Hong Ju PARK
;
Shi Nae PARK
;
Jihye RHEE
;
Jae Hyun SEO
;
Seung Geun YEO
Author Information
- Publication Type:Multicenter Study ; Original Article
- Keywords: Otitis Media; Middle Ear Ventilation; Microbiology
- MeSH: Anti-Bacterial Agents; Bacteria; Child; Ear; Ear, Middle*; Haemophilus influenzae; Hearing; Humans; Influenza, Human; Korea; Middle Ear Ventilation; Otitis Media with Effusion*; Otitis Media*; Otitis*; Prospective Studies; Staphylococcus; Tertiary Care Centers; Tympanic Membrane; Ventilation*
- From:Clinical and Experimental Otorhinolaryngology 2018;11(3):181-185
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVES: The aim of this multicenter registry study was to investigate the effectiveness of ventilation tube insertion and the microbiology of otitis media with effusion (OME) in children. This part I study was conducted to evaluate the microbiological profile of children with OME who needed ventilation tube insertion. METHODS: Patients < 15 years old who were diagnosed as having OME and received ventilation tube insertion were prospectively enrolled in 16 tertiary hospitals from June 2014 to December 2016. After excluding patients with missing data, the data of 397 patients were analyzed among a total of 433 enrolled patients. The clinical symptoms, findings of the tympanic membrane, hearing level, and microbiological findings were collected. RESULTS: In 103 patients (25.9%), antibiotics were used within 3 weeks before surgery. Ventilation tube insertion was performed in a total of 710 ears (626 in both ears in 313 patients, 55 in the left ear only, and 29 in the right ear only). Culture of middle ear effusion was done in at least one ear in 221 patients (55.7%), and in a total of 346 ears. Only 46 ears (13.3%) showed positive results in middle ear effusion culture. Haemophilus influenzae (17.3%, followed by coagulase-negative Staphylococcus and Staphylococcus auricularis) was the most common bacteria detected. CONCLUSION: H. influenzae was the most commonly found bacteria in middle ear effusion. Relatively low rates of culture positivity were noted in middle ear effusion of patients with OME in Korea.
