Particularities of bacterial ecology of acute otitis media in an African subtropical country (Cote d’Ivoire)
| Autor: | D. Sanogo, E. Ette-Akre, B. Kouassi, M. J. Tanon-Anoh, M. Yoda, A. Kacou-Ndouba |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.drug_class Antibiotics Erythromycin Gram-Positive Bacteria medicine.disease_cause Pefloxacin Microbiology Pneumococcal Vaccines Sex Factors Antibiotic resistance Risk Factors Drug Resistance Multiple Bacterial Internal medicine Gram-Negative Bacteria Streptococcus pneumoniae otorhinolaryngologic diseases medicine Humans Prospective Studies Child Haemophilus Vaccines Pseudomonas aeruginosa business.industry Age Factors Infant General Medicine Anti-Bacterial Agents Ciprofloxacin Otitis Media Cote d'Ivoire Otorhinolaryngology Child Preschool Acute Disease Pediatrics Perinatology and Child Health Colistin Female business medicine.drug |
| Zdroj: | International Journal of Pediatric Otorhinolaryngology. 70:817-822 |
| ISSN: | 0165-5876 |
| DOI: | 10.1016/j.ijporl.2005.09.009 |
| Popis: | Summary Background Acute otitis media (AOM) is the commonest infectious disease of childhood. Its treatment is based on a probabilistic antibiotic therapy. Objective To determine the prevalence of different bacteria responsible for AOM in children in Abidjan (Cote d’Ivoire). Materials and methods This is a prospective study, between November 2002 and August 2003. To identify bacterial isolates, 60 children under 15 years old with AOM were enrolled. In 52 cases, the sample was recovered by aspiration of a spontaneous otorrhea and in eight cases, it was taken by paracentesis. Nasopharyngeal swabs were cultured. Antibiotic susceptibility tests were performed on isolates. Results 75% of children were under 24 months of age. Pseudomonas aeruginosa was recovered in 31.8% of cases followed by Streptococcus pneumoniae (21%), Proteus (7.4%) and Staphylococcus (6.2%). The rate of penicillin-nonsusceptible S. pneumoniae (NSSP) was 11.8%. Resistance to erythromycin was 6%. For Pseudomonas, resistances to antibiotics were 35.5% to ceftazidim and 16% to pefloxacin, respectively, but all the strains were sensible to colistin, iminepem and ciprofloxacin. Conclusion These data can modify therapeutic approaches for treatment of AOM in our country. This study should encourage surveillance of AOM microbiology. |
| Databáze: | OpenAIRE |
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