otitis media Flashcards
Acute inflammatory disease of the middle ear and tympanic membrane with or without purulent middle ear fluid
acute otitis media
Presence of middle-ear effusion without any local or systemic signs of inflammation
otitis media with effusion
___children are dx’s with acute otitis media by 9 months; and ____children by 2 yrs
40%; 60%
peak age for recurrent acute otitis media
6-12 mon
which grps are at incr risk for acute otitis media (3)
- immunocompromised
- craniofacial disorder
- down syndrome
incidence of otitis media with effusion; age?
50% incidence in kids age 2-7
pathophysiology of OME (3)
- preceding viral illness
- immature immune status
- eustachian tube dysfxn
most common causative agents of otitis media (3)
- strept pneumo
- H. influenzae
- moraxella catarrhalis
is acute otitis media incidence increasing or decreasing?
decreasing
tx of uncomplicated otitis media
obervation
under what age should you absolutely tx otitis media
under 6 mon
1st line tx
amoxicillin
when to intervene with surgery
> 3 infxns in 6 mon; >4 infxns in 12 mon
purpose of placing ventilation tubes
improve short term quality of life
Presents with chronic draining ear; smelly drainage
cholesteatoma
anaerobic organisms are seen with mastoiditis or acute otitis media
mastoiditis
most common organism in acute otitis media that is assc’d with meningitits
strep pneumo
most common organism in acute otitis media that is assc’d with cholesteatoma (2)
- pseudomonas
2. bacteroides
