Pharmacologic compliance with antibiotic therapy for acute otitis media: influence on subsequent middle ear effusion.

Abstract:

:The frequency of otitis media with effusion (serous otitis media, secretory otitis media) detected after conventional antibiotic treatment of acute otitis media is approximately 50%. The relationship between pharmacologic compliance and the frequency of otitis media with effusion was studied. A Micrococcus lutea bioinhibition test was used to detect the presence of a substances in the urine that inhibited the growth of this antibiotic-sensitive organism. On the fourth, seventh, and tenth days of antibiotic treatment for acute otitis media urine specimens were collected. Otitis media with effusion was detected in 53% of 66 children who had positive results for M lutea bioinhibition compliance test for all three urine specimens. Electro-acoustic impedance measurements (tympanograms) confirmed the presence of effusion in all children in the effusion group tested by this method. The M lutea bioinhibition assay is a practical, in-office method to validate periodically, during treatment, pharmacologic compliance with antibiotics used for treatment of acute otitis media. Pediatrics 68:619-622, 1981.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Schwartz RH,Rodriquez WJ,Grundfast KM

subject

Has Abstract

pub_date

1981-11-01 00:00:00

pages

619-22

issue

5

eissn

0031-4005

issn

1098-4275

journal_volume

68

pub_type

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