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An Update

Deborah M. Burton, MD; Allan B. Seid, MD; Donald B. Kearns, MD; Seth M. Pransky, MD

Arch Otolaryngol Head Neck Surg. 1993;119(6):672-675.

Abstract
• Neonatal otitis media may be an isolated infection or part of a more complex sepsis syndrome. Because early studies suggested that the microbiologic characteristics of neonatal otitis media included a high risk of gram-negative coliforms and Staphylococcus aureus, tympanocentesis was recommended routinely. Subsequent studies have supported empiric medical therapy in selected patients, reserving tympanocentesis for patients in whom medical treatment fails. Because of these conflicting recommendations, records from 37 neonates with otitis media who underwent tympanocentesis from 1986 through 1991 were studied retrospectively. Cultures in one outpatient (11%) and four inpatients (13%) yielded Escherichia coli, all of which were sensitive to amoxicillin. No cultures of S aureus were identified. Sterile cultures and pneumococcus isolates were found most frequently. No septic or intracranial complications were noted. All patients were discharged on regimens of routine antibiotics for otitis media.

(Arch Otolaryngol Head Neck Surg. 1993;119:672-675)

Author Affiliations
From the Otolaryngology Department, Children's Hospital and Health Center, San Diego, Calif. Dr Burton is now with Brooke Army Medical Center, San Antonio, Tex.

Footnotes
Accepted for publication December 11, 1992.

Presented at the Annual Meeting of the American Society of Pediatric Otolaryngology, Palm Springs, Calif, April 13, 1992.

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or Department of Defense.

Reprint requests to Pediatric Otolaryngology Associates, 3030 Children's Way, No. 402, San Diego, CA 92123 (Dr Seid).

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