TITLE:
Pathogenesis and Microbiology of Otitis Media with Effusion in Children
AUTHORS:
Essam A. Abo Elmagd, Tahia Hashem Saleem, Mahmoud E. Khalefa, Bahaa Elhawary
KEYWORDS:
Otitis Media with Effusion, Microbiology, Pathogenesis
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.8 No.4,
June
14,
2019
ABSTRACT: Objective: To detect different etiological factors of otitis media with effusion (OME) and different types of microorganisms in middle ear fluids. Methods: This prospective study included 60 patients with otitis media with effusion diagnosed at the otorhinolaryngology (ENT) outpatient clinic with age ranged from 2 to 16 years, 36 males and 24 females. Results: Predisposing factors of OME were rhinosinusitis in 58.3% of cases, adenoid in 20% of cases, adenotonsillitis in 16.7% of cases and tonsillitis in 5% of cases. Microorganisms in middle ear fluids were negative in 70% of cases, isolation of streptococcus pneumonia in 16.7% of cases, Haemophilus influenzae 6.7% and Moraxella catarrhalis 6.7%. Conclusion: Rhinosinusitis was the most frequent predisposing factor of cases of OME. Positive bacterial culture was found in 30% of cases.