Acute Otits Media

Question 1

Otitis Media:

Causative organisms

Answer 1

Streptococcus pneumoniae, Haemophilus influenzae, other bacteria/viruses

Question 2

Otitis Media: S. pneumoniae

MoT

Answer 2

endogenous (may follow upper respiratory infection)

Question 3

Otitis Media: S. pneumoniae

Virulence factors (2)

Answer 3

capsule, hemolysin

Question 4

Otitis Media:

Culture/ Dx (2)

Answer 4

clinical symptoms and failure to resolve in 72 hours

Question 5

Otitis Media: S. pneumoniae

Prevention

Answer 5

pneumococcal conjugate vaccine (PCV-13)

Question 6

Otitis Media:

Treatment (4)

Answer 6

wait for resolution; amoxicillin, possibly add clavulanate or cefuroxime

Question 7

Otitis Media: H. influenzae

MoT

Answer 7

endogenous (following upper respiratory infection)

Question 8

Otitis Media: H. influenzae

Virulence factors (2)

Answer 8

capsule, fimbriae

Question 9

Otitis Media: H. influenzae

Prevention

Answer 9

Hib vaccine

Question 10

Otitis Media:

Symptoms

Answer 10

fullness and pain in the ear, loss of hearing, eardrum could burst
Young children- irritability, trouble sleeping, eating, or hearing