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Clinical Pediatrics
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Persistent Purulent Otitis Media

Richard H. Schwartz

Research Foundation, Microbiology Research, Children's Hospital National Medical Center, Washington, D.C.

William J. Rodriguez

Research Foundation, Microbiology Research, Children's Hospital National Medical Center, Washington, D.C.

Waheed N. Khan

Research Foundation, Microbiology Research, Children's Hospital National Medical Center, Washington, D.C.

Of 429 children with acute otitis media who returned for follow-up evalu ation, 49 (11%) were unresponsive to a 10- to 14-day course of ampicillin, amoxicillin, or erythromycin/sulfisoxazole. Patients with persistent purulent otitis media were noted to have immobile, bulging, yellow or grey, abscessed tympanic membranes at the follow-up visit. A myringotomy was performed on 45 children. Cultures of middle-ear exudate yielded ampicillin-resistant Haemophilus influenzae in 14 (31%), ampicillin-susceptible pathogens ( H. in fiuenzae or Streptococcus pneumoniae) in 23 (51%), and no growth in 8 (18%).

Clinical Pediatrics, Vol. 20, No. 7, 445-447 (1981)
DOI: 10.1177/000992288102000703
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This article has been cited by other articles:


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 CLIN PEDIATRHome page
R. Casey, B. Rosen, A. Glowasky, and S. Ludwig
An Intervention to Improve Follow-up of Patients with Otitis Media
Clinical Pediatrics, March 1, 1985; 24(3): 149 - 152.
[Abstract] [PDF]

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 Arch Pediatr Adolesc MedHome page
V. M. Howie and R. H. Schwartz
Acute Otitis Media: One Year in General Pediatric Practice
Arch Pediatr Adolesc Med, February 1, 1983; 137(2): 155 - 158.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
R. H. Schwartz, W. J. Rodriguez, W. N. Khan, L. Brigham, and S. Ross
Evaluation of Cefaclor in Acute Otitis Media Caused by Ampicillin-resistant H. influenzae
Clinical Pediatrics, July 1, 1982; 21(7): 402 - 404.
[Abstract] [PDF]