Respiratory viruses interfere with bacteriologic response to antibiotic in children with acute otitis media

Tasnee Chonmaitree, Mary J. Owen, Virgil M. Howie

Research output: Contribution to journalArticle

107 Citations (Scopus)

Abstract

Fifty-eight infants and children with acute otitis media were prospectively studied for bacterial and viral pathogenesis and response to antibiotic therapy. Tympanocentesis for bacterial and viral cultures of middle ear fluids (MEF) was done before and 2-4 days after beginning treatment. Patients were followed until the end of antibiotic course. Bacteria were cultured from the preantibiotic MEF in 43 cases (74%). Viruses were cultured from the preantibiotic MEF in 11 cases (19%); all of these MEFs also contained bacterial pathogens. A significantly higher proportion of patients with both virus and bacteria (50%) failed to respond with clearing of bacteria 2-4 days into therapy compared with the group with bacteria alone (13%). The patients with persistently positive viral cultures of the MEF seemed to have purulent otitis of longer duration. Presence of virus in the MEF may interfere with bacteriologic and clinical responses to antibiotic. The mechanism of interference deserves further investigation.

Original languageEnglish (US)
Pages (from-to)546-549
Number of pages4
JournalJournal of Infectious Diseases
Volume162
Issue number2
StatePublished - Aug 1990

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Otitis Media
Middle Ear
Anti-Bacterial Agents
Viruses
Bacteria
Otitis
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Immunology

Cite this

Respiratory viruses interfere with bacteriologic response to antibiotic in children with acute otitis media. / Chonmaitree, Tasnee; Owen, Mary J.; Howie, Virgil M.

In: Journal of Infectious Diseases, Vol. 162, No. 2, 08.1990, p. 546-549.

Research output: Contribution to journalArticle

Chonmaitree, Tasnee ; Owen, Mary J. ; Howie, Virgil M. / Respiratory viruses interfere with bacteriologic response to antibiotic in children with acute otitis media. In: Journal of Infectious Diseases. 1990 ; Vol. 162, No. 2. pp. 546-549.
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