The Use of Tympanocentesis in the Diagnosis and Management of Acute Otitis Media

Overview

Journal Curr Infect Dis Rep

Specialty Infectious Diseases

Date 2006 Apr 29

PMID 16643770

Citations 10

Authors

Michael E Pichichero

Tracy Wright

Affiliations

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Abstract

Acute otitis media (AOM), when associated with a bulging or full tympanic membrane, has a bacterial etiology in more than 90% of cases. Not infrequently, the organisms present express resistance mechanisms to commonly prescribed antibiotic therapy. Tympanocentesis is a procedure advocated by several national guidelines for use in selected patients not clinically responding to antimicrobial treatment. In this paper we discuss the use of tympanocentesis as a tool to track pathogen shifts and to guide antibiotic selection. We detail the indications for tympanocentesis, compare guidelines endorsing the procedure, and describe how to implement a technique for use in the primary care setting. The pros and cons of using tympanocentesis in clinical trial designs are also presented.

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