Mixed Pneumococcal-Nontypeable Haemophilus influenzae Otitis Media Is a Distinct Clinical Entity With Unique Epidemiologic Characteristics and Pneumococcal Serotype Distribution
Mixed Pneumococcal-Nontypeable Haemophilus influenzae Otitis Media Is a Distinct Clinical Entity With Unique Epidemiologic Characteristics and Pneumococcal Serotype Distribution
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DOI:
10.1093/infdis/jit289
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发表时间:
2013-10-01
影响因子:
6.4
通讯作者:
Givon-Lavi, Noga
中科院分区:
文献类型:
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作者:
Dagan, Ron;Leibovitz, Eugene;Givon-Lavi, Noga
Background. Complex (ie, recurrent, nonresponsive, or chronic) otitis media (OM) is frequent and is often caused by a mixed-pathogen infection with biofilm formation. We conducted this study to characterize children with OM due to mixed Streptococcus pneumoniae and nontypeable Haemophilus influenzae (NTHi) infections (MOM) and those with OM due to single, S. pneumoniae-only infections (S-OM) and to examine whether pneumococcal serotypes associated with M-OM differed from those associated with S-OM.Methods. In a 10-year prospective study in southern Israel, the clinical and demographic variables and pneumococcal serotypes associated with M-OM were compared to those associated with S-OM in children