A prospective study of acute suppurative otitis media in infancy. Bacteriology and antibiotic treatment

Abstract EN

Ear swabs were collected from 120 children with acute otitis media during the first year of life.

The isolated microorganisms were identified according to the morphology culture characteristic and biochemical tests. Development of resistance of bacteria.

against more than one antibiotic, penicillins, macrloides and cephalosporin's is noticed.

Amoxicillin, trimethoprimsulfamethoxazole represent the first line in clinical treatment except for recurrent acute otitis media .In case of children expected to have antimicrobial resistance against the infecting bacteria, treatment is started by amoxicillin –clavulanate , while cefprozil can be used in first line treatment as well.

Compliance, following pharmaceutical instructions, the cost of medicines , dealing with the management policy from the parents side ,treatment by azithromycin, clarthromycin.

cefixime and ceftriaxone may be useful in patients who are suffering from mal –absorption and complicated cases like meningitis.