Microbiological results from middle ear effusion in pediatric patients receiving ventilation tube insertion: Multicenter registry study on the effectiveness of ventilation tube insertion in pediatric patients with chronic otitis media with effusion: Part I

Myung Hoon Yoo, Yang Sun Cho, June Choi, Yun Hoon Choung, Jae Ho Chung, Jong Woo Chung, Gyu Cheol Han, Eun Ju Jeon, Beom Cho Jun, Dong Kee Kim, Kyu Sung Kim, Jun Ho Lee, Kyu Yup Lee, Seung Hwan Lee, In Seok Moon, Hong Ju Park, Shi Nae Park, Jihye Rhee, Jae Hyun Seo, Seung Geun Yeo

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Abstract

Objectives. The aim of this multicenter registry study was to investigate the effectiveness of ventilation tube insertion and the microbiology of otitis media with effusion (OME) in children. This part I study was conducted to evaluate the microbiological profile of children with OME who needed ventilation tube insertion. Methods. Patients <15 years old who were diagnosed as having OME and received ventilation tube insertion were prospectively enrolled in 16 tertiary hospitals from June 2014 to December 2016. After excluding patients with missing data, the data of 397 patients were analyzed among a total of 433 enrolled patients. The clinical symptoms, findings of the tympanic membrane, hearing level, and microbiological findings were collected. Results. In 103 patients (25.9%), antibiotics were used within 3 weeks before surgery. Ventilation tube insertion was performed in a total of 710 ears (626 in both ears in 313 patients, 55 in the left ear only, and 29 in the right ear only). Culture of middle ear effusion was done in at least one ear in 221 patients (55.7%), and in a total of 346 ears. Only 46 ears (13.3%) showed positive results in middle ear effusion culture. Haemophilus influenzae (17.3%, followed by coagulase-negative Staphylococcus and Staphylococcus auricularis) was the most common bacteria detected. Conclusion. H. influenzae was the most commonly found bacteria in middle ear effusion. Relatively low rates of culture positivity were noted in middle ear effusion of patients with OME in Korea.

Original languageEnglish
Pages (from-to)181-185
Number of pages5
JournalClinical and Experimental Otorhinolaryngology
Volume11
Issue number3
DOIs
Publication statusPublished - 2018 Sep 1

Fingerprint

Otitis Media with Effusion
Multicenter Studies
Ear
Ventilation
Registries
Pediatrics
Haemophilus influenzae
Staphylococcus
Bacteria
Tympanic Membrane
Coagulase
Korea
Microbiology
Tertiary Care Centers
Hearing
Anti-Bacterial Agents

Keywords

  • Microbiology
  • Middle ear ventilation
  • Otitis media

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Microbiological results from middle ear effusion in pediatric patients receiving ventilation tube insertion : Multicenter registry study on the effectiveness of ventilation tube insertion in pediatric patients with chronic otitis media with effusion: Part I. / Yoo, Myung Hoon; Cho, Yang Sun; Choi, June; Choung, Yun Hoon; Chung, Jae Ho; Chung, Jong Woo; Han, Gyu Cheol; Jeon, Eun Ju; Jun, Beom Cho; Kim, Dong Kee; Kim, Kyu Sung; Lee, Jun Ho; Lee, Kyu Yup; Lee, Seung Hwan; Moon, In Seok; Park, Hong Ju; Park, Shi Nae; Rhee, Jihye; Seo, Jae Hyun; Yeo, Seung Geun.

In: Clinical and Experimental Otorhinolaryngology, Vol. 11, No. 3, 01.09.2018, p. 181-185.

Research output: Contribution to journalArticle

Yoo, Myung Hoon ; Cho, Yang Sun ; Choi, June ; Choung, Yun Hoon ; Chung, Jae Ho ; Chung, Jong Woo ; Han, Gyu Cheol ; Jeon, Eun Ju ; Jun, Beom Cho ; Kim, Dong Kee ; Kim, Kyu Sung ; Lee, Jun Ho ; Lee, Kyu Yup ; Lee, Seung Hwan ; Moon, In Seok ; Park, Hong Ju ; Park, Shi Nae ; Rhee, Jihye ; Seo, Jae Hyun ; Yeo, Seung Geun. / Microbiological results from middle ear effusion in pediatric patients receiving ventilation tube insertion : Multicenter registry study on the effectiveness of ventilation tube insertion in pediatric patients with chronic otitis media with effusion: Part I. In: Clinical and Experimental Otorhinolaryngology. 2018 ; Vol. 11, No. 3. pp. 181-185.
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abstract = "Objectives. The aim of this multicenter registry study was to investigate the effectiveness of ventilation tube insertion and the microbiology of otitis media with effusion (OME) in children. This part I study was conducted to evaluate the microbiological profile of children with OME who needed ventilation tube insertion. Methods. Patients <15 years old who were diagnosed as having OME and received ventilation tube insertion were prospectively enrolled in 16 tertiary hospitals from June 2014 to December 2016. After excluding patients with missing data, the data of 397 patients were analyzed among a total of 433 enrolled patients. The clinical symptoms, findings of the tympanic membrane, hearing level, and microbiological findings were collected. Results. In 103 patients (25.9{\%}), antibiotics were used within 3 weeks before surgery. Ventilation tube insertion was performed in a total of 710 ears (626 in both ears in 313 patients, 55 in the left ear only, and 29 in the right ear only). Culture of middle ear effusion was done in at least one ear in 221 patients (55.7{\%}), and in a total of 346 ears. Only 46 ears (13.3{\%}) showed positive results in middle ear effusion culture. Haemophilus influenzae (17.3{\%}, followed by coagulase-negative Staphylococcus and Staphylococcus auricularis) was the most common bacteria detected. Conclusion. H. influenzae was the most commonly found bacteria in middle ear effusion. Relatively low rates of culture positivity were noted in middle ear effusion of patients with OME in Korea.",
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AU - Cho, Yang Sun

AU - Choi, June

AU - Choung, Yun Hoon

AU - Chung, Jae Ho

AU - Chung, Jong Woo

AU - Han, Gyu Cheol

AU - Jeon, Eun Ju

AU - Jun, Beom Cho

AU - Kim, Dong Kee

AU - Kim, Kyu Sung

AU - Lee, Jun Ho

AU - Lee, Kyu Yup

AU - Lee, Seung Hwan

AU - Moon, In Seok

AU - Park, Hong Ju

AU - Park, Shi Nae

AU - Rhee, Jihye

AU - Seo, Jae Hyun

AU - Yeo, Seung Geun

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N2 - Objectives. The aim of this multicenter registry study was to investigate the effectiveness of ventilation tube insertion and the microbiology of otitis media with effusion (OME) in children. This part I study was conducted to evaluate the microbiological profile of children with OME who needed ventilation tube insertion. Methods. Patients <15 years old who were diagnosed as having OME and received ventilation tube insertion were prospectively enrolled in 16 tertiary hospitals from June 2014 to December 2016. After excluding patients with missing data, the data of 397 patients were analyzed among a total of 433 enrolled patients. The clinical symptoms, findings of the tympanic membrane, hearing level, and microbiological findings were collected. Results. In 103 patients (25.9%), antibiotics were used within 3 weeks before surgery. Ventilation tube insertion was performed in a total of 710 ears (626 in both ears in 313 patients, 55 in the left ear only, and 29 in the right ear only). Culture of middle ear effusion was done in at least one ear in 221 patients (55.7%), and in a total of 346 ears. Only 46 ears (13.3%) showed positive results in middle ear effusion culture. Haemophilus influenzae (17.3%, followed by coagulase-negative Staphylococcus and Staphylococcus auricularis) was the most common bacteria detected. Conclusion. H. influenzae was the most commonly found bacteria in middle ear effusion. Relatively low rates of culture positivity were noted in middle ear effusion of patients with OME in Korea.

AB - Objectives. The aim of this multicenter registry study was to investigate the effectiveness of ventilation tube insertion and the microbiology of otitis media with effusion (OME) in children. This part I study was conducted to evaluate the microbiological profile of children with OME who needed ventilation tube insertion. Methods. Patients <15 years old who were diagnosed as having OME and received ventilation tube insertion were prospectively enrolled in 16 tertiary hospitals from June 2014 to December 2016. After excluding patients with missing data, the data of 397 patients were analyzed among a total of 433 enrolled patients. The clinical symptoms, findings of the tympanic membrane, hearing level, and microbiological findings were collected. Results. In 103 patients (25.9%), antibiotics were used within 3 weeks before surgery. Ventilation tube insertion was performed in a total of 710 ears (626 in both ears in 313 patients, 55 in the left ear only, and 29 in the right ear only). Culture of middle ear effusion was done in at least one ear in 221 patients (55.7%), and in a total of 346 ears. Only 46 ears (13.3%) showed positive results in middle ear effusion culture. Haemophilus influenzae (17.3%, followed by coagulase-negative Staphylococcus and Staphylococcus auricularis) was the most common bacteria detected. Conclusion. H. influenzae was the most commonly found bacteria in middle ear effusion. Relatively low rates of culture positivity were noted in middle ear effusion of patients with OME in Korea.

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KW - Middle ear ventilation

KW - Otitis media

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