Frequency of Alloicoccus otitidis, Streptococcus pneumoniae, Moraxella catarrhalis and Haemophilus influenzae in children with otitis media with effusion (OME) in Iranian patients

被引：21

作者：

Khoramrooz, Seyed Sajjad ^{[1
]}

Mirsalehian, Akbar ^{[1
]}

Emaneini, Mohammad ^{[1
]}

Jabalameli, Fereshteh ^{[1
]}

Aligholi, Marzieh ^{[1
]}

Saedi, Babak ^{[2
]}

Bazargani, Abdollah ^{[3
]}

Taherikalani, Morovat ^{[4
]}

Borghaei, Pedram ^{[5
]}

Razmpa, Ebrahim ^{[2
]}

机构：

[1] Univ Tehran Med Sci, Sch Med, Dept Microbiol, Tehran, Iran

[2] Univ Tehran Med Sci, Imam Khomeini Complex Hosp, Dept Otolaryngol Head & Neck Surg, Otorhinolaryngol Res Ctr, Tehran, Iran

[3] Shiraz Univ Med Sci, Shiraz Med Sch, Dept Bacteriol & Virol, Shiraz, Iran

[4] Ilam Univ Med Sci, Sch Med, Dept Microbiol, Ilam, Iran

[5] Univ Tehran Med Sci, Amir Alam Hosp, Dept Otolaryngol Head & Neck Surg, Tehran, Iran

来源：

AURIS NASUS LARYNX | 2012年 / 39卷 / 04期

关键词：

Otitis media with effusion; Alloiococcus otitidis; Streptococcus pneumoniae; Moraxella catarrhalis; Haemophilus influenzae; MIDDLE-EAR CAVITY; ALLOIOCOCCUS-OTITIDIS; RESISTANT-BACTERIA; MULTIPLEX-PCR; ADENOIDECTOMY; PREVALENCE; PATHOGENS; RECOVERY; ORGANISM; FLUID;

D O I：

10.1016/j.anl.2011.07.002

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objective: To determine the presence of common bacterial agents of otitis media with effusion (OME), together with investigation these agent in the adenoid tissue and antimicrobial susceptibility pattern of isolated bacteria in Iranian children with OME. Methods: Polymerase chain reaction (PCR) and bacterial culture methods were used for detection and isolation of Alloicoccus otitidis, Streptococcus pneumoniae, Moraxella catarrhalis and Haemophilus influenzae in 63 middle ear fluid samples and 48 adenoid tissues from 48 OME patients. Fifteen patients were bilaterally affected. Antimicrobial susceptibility of all bacterial isolates were determined by disk agar diffusion (DAD) method. Results: Bacteria were isolated from 47% (n = 30) of the middle ear fluid samples and 79%(n = 38) of the adenoid tissue specimens in OME patients. A. otitidis was the most common bacterial isolated from the middle ear fluid 23.8% by culture and 36.5% by PCR method. S. pneumoniae was the most prevalent pathogen (35.5% and 31.2% by culture and PCR) in the adenoid tissues. In 10 patients the same organisms were isolated from the middle ear fluid and adenoid tissue. Antimicrobial susceptibility pattern showed taht most isolates of bacteria were sensitive to ampicillin, Amoxicillin/Clavulanate and fluoroquinolones. Conclusion: The present study, being the first report on the isolation of A. otitidis by culture method in Iran and Asian countries, shows that A. otitidis is the most frequently isolated bacterium in Iranian children having otitis media with effusion. In this study A. otitidis, S. pneumoniae, H. influenzae and M. catarrhalis are the major bacterial pathogens in patients with OME and we found that ampicillin and Amoxicillin/Clavulanate have the excellent activity against bacterial agents in Iranian children with OME. (C) 2011 Elsevier Ireland Ltd. All rights reserved.

引用

页码：369 / 373

页数：5

共 42 条

[1] PHYLOGENETIC ANALYSIS OF ALLOIOCOCCUS-OTITIS GEN-NOV, SP-NOV, AN ORGANISM FROM HUMAN MIDDLE-EAR FLUID [J].