Acute Otitis Media Caused by Branhamella catarrhalis: Biology and Therapy (original) (raw)

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From the Department of Pediatrics, Cleveland Metropolitan General Hospital, Case Western Reserve University School of Medicine

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Cleveland, Ohio

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From the Department of Pediatrics, Cleveland Metropolitan General Hospital, Case Western Reserve University School of Medicine

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Cleveland, Ohio

Please address requests for reprints to Dr. Paul A. Shurin, Department of Pediatrics, Cleveland Metropolitan General Hospital, 3395 Scranton Road, Cleveland, Ohio 44109.

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From the Department of Pediatrics, Cleveland Metropolitan General Hospital, Case Western Reserve University School of Medicine

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Cleveland, Ohio

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,

From the Department of Pediatrics, Cleveland Metropolitan General Hospital, Case Western Reserve University School of Medicine

,

Cleveland, Ohio

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,

From the Department of Pediatrics, Cleveland Metropolitan General Hospital, Case Western Reserve University School of Medicine

,

Cleveland, Ohio

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,

From the Department of Pediatrics, Cleveland Metropolitan General Hospital, Case Western Reserve University School of Medicine

,

Cleveland, Ohio

Search for other works by this author on:

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From the Department of Pediatrics, Cleveland Metropolitan General Hospital, Case Western Reserve University School of Medicine

,

Cleveland, Ohio

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From the Department of Pediatrics, Cleveland Metropolitan General Hospital, Case Western Reserve University School of Medicine

,

Cleveland, Ohio

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Received:

31 January 1986

Revision received:

08 May 1986

Published:

01 January 1987

Cite

George F. Van Hare, Paul A. Shurin, Colin D. Marchant, N. A. Cartelli, Candice E. Johnson, Doris Fulton, Susan Carlin, Chang Hwan Kim, Acute Otitis Media Caused by Branhamella catarrhalis: Biology and Therapy, Reviews of Infectious Diseases, Volume 9, Issue 1, January 1987, Pages 16–27, https://doi.org/10.1093/clinids/9.1.16
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Abstract

Since 1980, we have observed an epidemic of otitis media caused by Branhamella catarrhalis. This event was characterized by studying the nasopharyngeal colonization of infants and children with B. catarrhalis and the clinical presentation and therapeutic outcome of acute otitis media caused by this organism. Pharyngeal colonization with B. catarrhalis was commoner in winter than summer. B. catarrhalis was present in middle-ear fluid (MEF) of 17% of children with otitis media, and was commoner in fall and winter (20%) than in spring and summer (11%, P < .05). Seventy-five percent of isolates produced β-lactamase (Ravasio type). In five of 20 patients, treatment with β-lactamase-susceptible agents failed to sterilize _B. catarrhalis-_infected MEF. All of these five patients were infected with β-lactamase-producing-strains. The increasing prominence of antibiotic resistant B. catarrhalis in acute otitis media may lead to a reevaluation of initial antibiotic therapy for acute otitis media, particularly in winter or in areas where colonization with such strains is prevalent.

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© 1987 The University of Chicago

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