gms | German Medical Science

86th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

13.05. - 16.05.2015, Berlin

Causes of acute middle ear infections in children

Meeting Abstract

  • corresponding author Mario Milkov - HNO “ST. Petka”, Varna, Bulgarien
  • Plamen Nedev - Medical University, Varna, Bulgaria
  • Tsvetan Tonchev - Medical University, Varna, Bulgaria
  • Svetla Vasileva - Military Hospital, Sofia, Bulgaria
  • Dilyana Vicheva - Medical University, Plovdiv, Bulgaria

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 86. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Berlin, 13.-16.05.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. Doc15hnod417

doi: 10.3205/15hnod417, urn:nbn:de:0183-15hnod4176

Published: March 26, 2015

© 2015 Milkov et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License. You are free: to Share - to copy, distribute and transmit the work, provided the original author and source are credited. See license information at http://creativecommons.org/licenses/by-nc-nd/3.0/.


Outline

Text

According to our experience during the last years viral upper respiratory tract infection usually precedes or coincides with acute otitis media (AOE). Epidemiological and clinical aspects of AOE in three different regions in Bulgaria appear to be very similar.

Epidemiological clinical research have shown a strong relationship between viral upper respiratory tract infection and acute otitis media. According to a study of Grievs at al viral replication was seen from the site of inoculation to the pharyngeal orifice of the eustachian tube by 48 hours, and the virus could be detected in the distal part of the eustachian tube after 5 days.

We have examined 945 children between 1,5 and 12 years old. The most frequently found viruses were: RSV, adenovirus, coronavirus, influenza virus. In only 15% of the cases more then two viruses ware isolated.In our research, a respiratory virus was detected in 31% of 945 children with AOE. Most of the children with viral infections have attended children gardens and schools more than 6 months.

In 58% of cases different kinds of bacteria were isolated. We found difficulties to prove which is the main causing agents of the infections-virus ore bacteria.

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