Pediatr. praxi. 2010;11(6):368-372

Rational antibiotic therapy of acute otitis media in children view of clinical microbiologist

MUDr.Václava Adámková
Klinická mikrobiologie a ATB centrum, Ústav klinické biochemie a laboratorní diagnostiky,

Otitis media is one of the most common childhood infections. The most frequent causative agents are Streptococcus pneumoniae,

Haemophillus influenzae and Moraxella catarrhalis. Viruses play important role in the pathogenesis of otitis media. Treatment with

anti biotics is recommended for severe cases of otitis media and for children younger than 2 years. The drug of the first choice is

amoxicillin in the Czech Republic due to low prevalence of non-susceptible strains. Polysaccharide pneumococcal vaccine (PVC7) was

successful in reducing the incidence of otitis media caused by vaccine serotypes, but is observed the increase of episodes of acute

otitis media caused by nonvaccine serotypes in children who received PVC7.

Keywords: otitis media, etiology, antibiotics, PVC7

Published: December 9, 2010  Show citation

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Adámková V. Rational antibiotic therapy of acute otitis media in children view of clinical microbiologist. Pediatr. praxi. 2010;11(6):368-372.
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