급성 중이염 (otitis media) 저널 정리
- 최초 등록일
- 2011.07.18
- 최종 저작일
- 2011.06
- 19페이지/
MS 파워포인트
- 가격 7,000원
![할인쿠폰받기](/images/v4/document/ico_det_coupon.gif)
소개글
중이염에 대해서 미국 소아과 협회의 저널 최신 중이염 review 정리한것입니다.
중이염의 개념과, 치료 약, 균에 대해서 영어로 정리 했습니다.
저널을 정리한것이고 영어로 정리했습니다.
목차
없음
본문내용
Otitis media : OME and AOM
OME : middle ear effusion(MEE) without infection
AOM : infection of the middle ear with acute onset of signs and symptoms, MEE, and sign and acute symptoms of middle ear inflammation.
Treatment-failure AOM: lack of improvement in signs and symptoms within 48 to 72 hours after initiation of antibiotic therapy.
Recurrent AOM: three or more AOM episodes , in 6 month.
four or more AOM episodes, in 12 month.
Chronic supprative otitis media (CSOM): purulent otorrhea associated with a chronic tympanic membrane perforation that persists for more than 6 weeks despite appropriate treatment for AOM
Age < 2yr.
Atopy
Bottle propping
Chronic sinusitis
Ciliary dysfunction
Cleft palate and craniofactial anomalies
Child care attendance
Down syndrome and other genetic condition
First episode of AOM when younger than 6 months of age
Immunocompromising condition
pneumoniae
- Pneumococcal conjugate vaccine (PCV7) : dramatically reducce in invasion of S pneumoniae
- significant increased in the incidence of disease due to serotype 3,15,19A,22F, and 33F
-19A : nonsusceptibility to penicillin or other antimicrobials (most common)
A dramatic increase in the percentage of serotype 19A – resistant to penicillin
and not susceptible to erythromycin increased from 23% to 46%
-15A: nonsusceptibility to Both penicillin and erythromycin
2.nontypeable H influenzae
Most commonly in recurrent AOM or AOM with treatment failure.
3.M catarrhalis
: 12-20% of bacterial AOM, 100% isolates producing beta-lactamase.
4.S pyogenes (group A streptococcus)
: most commonly in children older than 5 years of age, aggressive disease, perforation and mastoiditis
5.S agalactiae (group B strptococcus)
:neonates and young infants
참고 자료
없음