Johns Hopkins Antibiotic (ABX) GuideDiagnosisHEENT

Acute Otitis Media, Pediatric

Pranita Tamma, M.D.
Acute Otitis Media, Pediatric is a topic covered in the Johns Hopkins Antibiotic (ABX) Guide.

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  • Bacterial and/or respiratory viral pathogens can be isolated from middle ear aspirates from children with acute otitis media (AOM).
  • In the era of pneumococcal conjugate vaccination, the most common bacteria implicated in AOM:
    • Streptococcus pneumoniae (~30%)
    • Nontypable Haemophilus influenzae (~30%)
    • Moraxella catarrhalis (~15%)
  • Pathogens occasionally involved in AOM include: Streptococcus pyogenes, Staphylococcus aureus and oral anaerobic bacteria.
  • Pseudomonas aeruginosa may be present in middle ear fluid in children with chronic otitis media.

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Last updated: April 29, 2014