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Otitis Media Miranda Whittington and Emilee O’Brien What is Otitis Media? • Infection of the middle of the ear – causes an ear ache • Complication of a number of diseases How • Pathogens cause pus around the eardrums – put pressure on it causing it to inflame • The atenoids are larger in children – can interfere with the opening of the eustachian tubes Who does it affect? • Children more than adults – Kids eustachian tubes are shorter and more horizontal than adults, which allows the bacteria and viruses to find their way into the middle ear more easily. – The auditory tube connecting the middle ear to the throat is smaller in children Causative Agent • • • • • • 35% S. pneumoniae 20-30% H. influenzae 10-15% Moraxella catarrhalis 8-10% S. pyogenes 1-2% S. aureus About 3-5% of cases no bacteria can be detected Popularity • 85% of kids before age of 3 • Half of doctors visits for kids • 8 million cases a year in the U.S. Treatment • Doctors always assume that bacteria is the cause • Accounts for ¼ of prescriptions of antibiotics • Surgery: Myringotomy Antibiotics • Penicillins – Amoxicillin (first choice) Vaccine • For S. pneumoniae • Eliminates 6-7% of cases of Otitis Media every year • Recommended vaccine for children Sources • http://kidshealth.org/parent/infections/ba cterial_viral/otitis_media.html • http://www.medicinenet.com/otitis_medi a/article.htm • Microbiology Textbook Page 716