
In Vitro Bacterial Interference in the Nasopharynx of Otitis MediaProne and NonOtitis MediaProne Children
Itzhak Brook, MD, MSc;
Alan E. Gober, MD
Arch Otolaryngol Head Neck Surg. 2000;126:1011-1013.
Objective To compare the frequency of recovery of potential pathogens and aerobic- and anaerobic-interfering bacteria in the nasopharynx of otitis mediaprone (OMP) with that in non-OMP (N-OMP) children.
Patients and Methods Nasopharyngeal cultures were obtained from 20 OMP and 20 N-OMP children. Potential pathogens and aerobic and anaerobic bacteria with interfering capabilities against these organisms were identified.
Results Eighteen potential pathogens were isolated from 12 of the 20 OMP children, and 9 were recovered from 5 of the 20 N-OMP children (P<.05). Fifty-eight aerobic and anaerobic isolates with interfering capability against 4 potential pathogens were recovered from 5 of the OMP group, and 139 from 17 of the N-OMP group (P<.05). These interfering organisms included hemolytic streptococci, nonhemolytic streptococci, Prevotella species, and Peptostreptococcus species.
Conclusion The nasopharyngeal flora of N-OMP children contains more aerobic and anaerobic organisms with interfering capability and less potential pathogens than that of OMP children.
From the Department of Pediatrics Georgetown University School of Medicine, Chevy Chase, Md.
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