Antibiotic treatment for acute otitis media

Eugene Leibovitz, Ron Dagan

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations

Abstract

The major problems encountered in the antibiotic therapy of acute otitis media (AOM) are the tremendous increase in the resistance to antibiotics of its main pathogens and the lack of tight criteria (taking into consideration, as a major determinant, the eradication of the pathogens from the middle ear fluid) in the selection of the appropriate antibiotic drugs for the treatment of this disease. Future drugs for the treatment of AOM will have to be approved only after their in vivo microbiological efficacy for each major pathogen is documented. This documentation will be provided by more antibiotic studies with bacteriological outcome using the double- tympanocentesis method and stratifying the AOM patients by age and initial clinical severity. Judicious use of antibiotics for the treatment of AOM will have a major impact on society, leading to a less frequent but more skilled administration of the most effective drugs. (C) 2000 Elsevier Science B.V. and International Society of Chemotherapy.

Original languageEnglish
Pages (from-to)169-177
Number of pages9
JournalInternational Journal of Antimicrobial Agents
Volume15
Issue number3
DOIs
StatePublished - 1 Jul 2000
Externally publishedYes

Keywords

  • Acute otitis media
  • Antibiotic resistance
  • Haemophilus influenzae
  • Minimal inhibitory concentration (MIC)
  • Streptococcus pneumoniae

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