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Consensus document on the aetiology, diagnosis and treatment of acute otitis media. Baquero Artigao a , T. Moraga Llop a , M. Cilleruelo Ortega a , C. Calvo Rey a. An Pediatr Barc. Palabras clave: Otitis media aguda. The document analyses the etiology of the disease and the possible shifts in it following the introduction of the 7-valent, valent, and valent pneumococcal vaccines.

The document proposes diagnosing AOM as confirmed or probable. The AOM diagnosis is considered confirmed if three criteria are met: acute onset, signs of fluid in the middle ear or otorrhea , and symptoms of inflammation, such as otalgia or marked erythema in the middle ear, and considered probable when only two of these criteria are met.

Key words: Acute otitis media. Comparadas ambas nuevas vacunas, la valente carece de efecto protector frente a H. Esto significa que S. Respecto a H. Es el cuadro al que nos vamos a referir principalmente y se diferencian varias presentaciones:.

La otorrea aguda purulenta es muy sugestiva de OMA. En la otoscopia podemos observar:. Si no hay respuesta y el dolor es muy intenso, debe plantearse la timpanocentesis Es necesario tratar casos de OMA para prevenir un caso de mastoiditis. El resto de autores declaran no presentar conflicto de intereses.

Enferm Infecc Microbiol Clin. Diagnosis and treatment of acute otitis media: an assessment. Bacteriology of acute otitis media in Spain: a prospective study based on tympanocentesis.

Pediatr Infect Dis J. Reduction of nasopharyngeal carriage of Streptococcus pneumoniae after administration of a 9-valent pneumococcal conjugate vaccine to toddlers attending day care centers.

J Infect Dis. Molecular epidemiology of pneumococcal colonization in response to pneumococcal conjugate vaccination in children with recurrent acute otitis media. J Clin Microbiol. Effect of the seven-valent conjugate pneumococcal vaccine on carriage and drug resistance of Streptococcus pneumoniae in healthy children attending day-care centers in Lisbon. Effect of pneumococcal conjugate vaccine on nasopharyngeal bacterial colonization during acute otitis media.

Increase in serotype 19A prevalence and amoxicillin non-susceptibility among paediatric Streptococcus pneumoniae isolates from middle ear fluid in a passive laboratory-based surveillance in Spain, BMC Infect Dis. Community-wide vaccination with the heptavalent pneumococcal conjugate significantly alters the microbiology of acute otitis media. Changes in frequency and pathogens causing acute otitis media in Pneumococcal capsular polysaccharides conjugated to protein D for prevention of acute otitis media caused by both Streptococcus pneumoniae and non-typable Haemophilus influenzae: a randomised double-blind efficacy study.

Impact of valent pneumococcal conjugate vaccine on pneumococcal nasopharyngeal carriage in children with acute otitis media.

Pichichero ME. Assesing the treatment alternatives for acute otitis media. Isolation of viruses and mycoplasmas from middle ear effusions: a review. Ann Otol Rhinol Laryngol. Viruses in acute otitis media: increasing evidence for clinical significance. Antimicrobial resistance among respiratory pathogens in Spain: latest data and changes over 11 years to Antimicrob Agents Chemother.

Relationship between serotypes, age, and clinical presentation of invasive pneumococcal disease in Madrid, Spain, after introduction of the 7-valent pneumococcal conjugate vaccine into the vaccination calendar. Clin Vaccine Immunol. Antibiotic resistance in Haemophilus influenzae decreased, except for beta-lactamase-negative amoxicillin-resistant isolates, in parallel with community antibiotic consumption in Spain from to Consenso nacional sobre otitis media aguda.

Castellarnau FE. Otitis media aguda. Symptoms or symptom-based scores cannot predict acute otitis media at otitis-prone age. Diagnosis, microbial epidemiology, and antibiotic treatment of acute otitis media in children. A systematic review. Otoscopic signs of otitis media.

Diagnosis and management of acute otitis media. Intracranial complications of acute and chronic infectious ear disease: a problem still with us. Otogenic intracranial complications. Acta Otolaryngol. Effect of antibiotics for otitis media on mastoiditis in children: a retrospective cohort study. Acute mastoiditis and osteomyelitis of the temporal bone.

Int J Pediatr Otorhinolaryngol. Acute mastoiditis in children in Sweden - No increase after new guidelines. Otitis media with effusion.

Vigilancia de resistencias a los antimicrobianos: estudio VIRA. Acute otitis media: to follow-up or treat? Pediatric acute otitis media: the case for delayed antibiotic treatment.

J Emerg Med. Nonsevere acute otitis media: a clinical trial comparing outcomes of watchful waiting versus immediate antibiotic treatment. Treatment of acute otitis media in children under 2 years of age. N Engl J Med. A placebo-controlled trial of antimicrobial treatment for acute otitis media. An Esp Pediatr. Acute otitis media: from diagosis to prevention. Summary of the Italian guideline.

Otitis media. Pediatr Rev. Clonal spread of beta-lactamase-producing amoxicillin-clavulanate-resistant strains of non-typeable Haemophilus influenzae among young children attending a day care in Japan. Klein JO. Antimicrobial therapy issues facing pediatricians. Trends in otitis media treatment failure and relapse.

Treatment of acute otitis media with a shortened course of antibiotics: a meta-analysis. Acute otitis media in the first two months of life: characteristics and diagnostic difficulties.

Arch Dis Child. Grimprel E, Cohen R. Levofloxacin in children. Arch Pediatr. Servicios Personalizados Revista. Protocolo de tratamiento de la otitis media aguda 1.


"exudado ótico" in English



Exudado ótico




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