The use of tympanocentesis in the diagnosis and management of acute otitis media.

Abstract:

:Acute otitis media (AOM), when associated with a bulging or full tympanic membrane, has a bacterial etiology in more than 90% of cases. Not infrequently, the organisms present express resistance mechanisms to commonly prescribed antibiotic therapy. Tympanocentesis is a procedure advocated by several national guidelines for use in selected patients not clinically responding to antimicrobial treatment. In this paper we discuss the use of tympanocentesis as a tool to track pathogen shifts and to guide antibiotic selection. We detail the indications for tympanocentesis, compare guidelines endorsing the procedure, and describe how to implement a technique for use in the primary care setting. The pros and cons of using tympanocentesis in clinical trial designs are also presented.

journal_name

Curr Infect Dis Rep

authors

Pichichero ME,Wright T

doi

10.1007/s11908-006-0058-9

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

189-95

issue

3

eissn

1523-3847

issn

1534-3146

journal_volume

8

pub_type

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